person
Daxton Mark Johnson
Mental Health Counselor in Salt Lake City, Utah
NPI 1720775448

Daxton Mark Johnson is a Mental Health Counselor based in Eagle Mountain, UT and is specialized in Mental Health. Daxton Mark Johnson practices in Salt Lake City, UT. The NPI Number for Daxton Mark Johnson is 1720775448 and holds a License No. (Utah).

The current practice location address for Daxton Mark Johnson is 5296 S 300 W, Salt Lake City, UT and can be reached out via phone at 801-921-7854.

Location: 5296 S 300 W, Salt Lake City, UT, 84005-6316
person
Provider Profile Details
NPI Number
1720775448
Provider Name
Daxton Mark Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5296 S 300 W, Salt Lake City, UT, 84005-6316
Phone Number
801-921-7854
Fax Number
Provider Enumeration Date
04/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5296 S 300 W
City
State
Zip
84107-4767
Phone Number
801-921-7854
Fax Number
person
Provider Business Mailing Address Details
Address
5296 S 300 W
City
State
Zip
84107-4767
Phone Number
801-921-7854
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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