Individual
DARREN JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
310 W 400 N, OREM, UT 84057-4663
(801) 369-8702
Mailing address
310 W 400 N, OREM, UT 84057-4663
(801) 369-8702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5498400-6009
UT
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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