Individual
MRS. JOAN R. LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
6148 W 8400 S, PAYSON, UT 84651-9736
(435) 709-5788
Mailing address
6148 W 8400 S, PAYSON, UT 84651-9736
(435) 709-5788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8542770-6009
UT
101YM0800X
Mental Health Counselor
Primary
8542770-6009
UT
Other
Enumeration date
01/17/2012
Last updated
06/09/2016
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