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Mr. John Ellis Boden, LPC
Professional Counselor in South Jordan, Utah
NPI 1952329351

John Ellis Boden is a Professional Counselor based in American Fork, UT and is specialized in Professional. John Ellis Boden practices in South Jordan, UT and has the professional credentials of LPC. The NPI Number for John Ellis Boden is 1952329351 and holds a License No. 5006522-6004 (Utah).

The current practice location address for John Ellis Boden is 1258 W South Jordan Pkwy, South Jordan, UT and can be reached out via phone at 801-255-1155.

Location: 1258 W South Jordan Pkwy, South Jordan, UT, 84003-0694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952329351
Provider Name
John Ellis Boden
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1258 W South Jordan Pkwy, South Jordan, UT, 84003-0694
Phone Number
801-255-1155
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1258 W South Jordan Pkwy
City
South Jordan
State
Utah
Zip
84095-4711
Phone Number
801-255-1155
Fax Number
person
Provider Business Mailing Address Details
Address
1258 W South Jordan Pkwy
City
South Jordan
State
Utah
Zip
84095-4711
Phone Number
801-255-1155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5006522-6004 (Utah)
Definition
Definition to come...
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