Individual
LONDON BERTOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 990-4300
Mailing address
2096 W. COMMANCHE RD., FARMINGTON, UT 84025
(928) 830-7133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11413713-6009
UT
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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