Individual
CLINTON H TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC INTERN
Contact information
Practice address
1258 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-4711
(801) 255-1155
Mailing address
3601 E HEUGHS CANYON CIR, HOLLADAY, UT 84121-6356
(703) 919-1876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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