Individual
MR. JOHN ORVILLE WATERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
52 BOULTON WAY, BOUNTIFUL, UT 84010-6471
(801) 298-2334
(801) 298-2334
Mailing address
52 BOULTON WAY, BOUNTIFUL, UT 84010-6471
(801) 298-2334
(801) 298-2334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
138013-6004
UT
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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