Individual
MR. JONATHAN COLLINS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1325 N MAIN ST STE 3, BOUNTIFUL, UT 84010-6090
(801) 648-9021
(801) 335-4783
Mailing address
1325 N MAIN ST STE 3, BOUNTIFUL, UT 84010-6090
(801) 648-9021
(801) 335-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8033286-3501
UT
Other
Enumeration date
07/30/2010
Last updated
09/10/2013
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