Individual
DR. JOHN RICHARD SHAVERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1408 E PARKWAY AVE, SALT LAKE CITY, UT 84106-3558
(801) 474-0906
Mailing address
1408 E PARKWAY AVE, SALT LAKE CITY, UT 84106-3558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
323635-6004
UT
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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