Individual
MICHAEL DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4500
(385) 468-4461
Mailing address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4500
(385) 468-4461
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106H00000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HT 002258-001
MEDICAID
UT
Enumeration date
11/02/2015
Last updated
02/09/2016
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