Organization
HOPE & HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GORDON (MARRIAGE AND FAMILY THERAPIST)
(435) 215-3184
Entity
Organization
Contact information
Practice address
336 W 3162 S, WASHINGTON, UT 84780-8352
(435) 215-3184
Mailing address
1031 S BLUFF ST, SAINT GEORGE, UT 84770-5206
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
8017789-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861766586
—
UT
Enumeration date
06/23/2016
Last updated
06/23/2016
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