Individual
MATTHEW BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
377 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 210-9147
Mailing address
384 E 60 S, AMERICAN FORK, UT 84003-3835
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11144173-3902
UT
Other
Enumeration date
04/13/2021
Last updated
04/19/2023
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