Organization
OGDEN CENTER FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL JOHNSON PHD (PSYCHOLOGIST/CO-OWNER)
(801) 781-5733
Entity
Organization
Contact information
Practice address
3670 QUINCY AVE STE 105, OGDEN, UT 84403-1993
(801) 781-5733
(801) 899-6634
Mailing address
3670 QUINCY AVE STE 105, OGDEN, UT 84403-1993
(801) 781-5733
(801) 899-6634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/24/2020
Last updated
04/13/2022
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