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Organization
FAMILY & RELATIONSHIP WELLNESS THERAPY
Active
Organization
FAMILY & RELATIONSHIP WELLNESS THERAPY
Active
Other names
Justin Gordon, LMFT
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GORDON LMFT (THERPIST/OWNER)
(435) 215-3184
Entity
Organization
Contact information
Practice address
1031 S BLUFF ST, ST GEORGE, UT 84770-5206
(435) 215-3184
(435) 634-8899
Mailing address
336 W 3162 S, WASHINGTON, UT 84780-8352
(435) 215-3184
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8017789-3902
UT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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