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Individual

JUSTIN GRANT HUGHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CWS, LSUDC

Contact information

Practice address
8072 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-5037
(801) 455-2687
Mailing address
1703 MEADOWLARK RD, OREM, UT 84097-2368
(435) 841-2735

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10946701-6006
UT
1041C0700X
Clinical Social Worker
Primary
10946701-3502
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457716078
UT
Enumeration date
12/25/2015
Last updated
05/11/2023
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