Individual
MR. JASON JOHN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
124 POPLAR DR, BRIGHAM CITY, UT 84302-2767
(435) 734-9449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
363179-3902
UT
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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