Individual
MARK WILSON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
730 E SPRING DR., TOQUERVILLE, UT 84774
(435) 635-0300
Mailing address
730 E SPRING DR., TOQUERVILLE, UT 84774
(435) 635-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
8148314-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190077AHN
—
CA
Enumeration date
12/12/2011
Last updated
01/03/2023
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