Individual
MR. ASHLEY JOHSTONEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4999045-3904
UT
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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