Individual
MR. TAKAVAR GHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
1664 S DIXIE DR STE E102, ST GEORGE, UT 84770-7329
(435) 703-9647
(435) 703-6003
Mailing address
1664 S DIXIE DR STE E102, ST GEORGE, UT 84770-7329
(435) 703-9647
(435) 703-6003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6782719-6004
UT
Other
Enumeration date
07/26/2016
Last updated
08/28/2023
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