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Organization

ST. JOHN THERAPEUTIC SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK J MERCIK (CEO)
(801) 621-5385
Entity
Organization

Contact information

Practice address
555 E 5300 S, SUITE 6, SOUTH OGDEN, UT 84405-4509
(801) 621-5385
Mailing address
555 E 5300 S, SUITE 6, SOUTH OGDEN, UT 84405-4509
(801) 621-5385

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1437121357
UT
101YM0800X
Mental Health Counselor
264211-3501
UT

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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