Individual
JOSEPH ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
901 S OREM BLVD, OREM, UT 84058-5011
(801) 465-5111
Mailing address
901 S OREM BLVD, OREM, UT 84058-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5804101-6004
UT
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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