Individual
MATTHEW CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
Mailing address
832 N 800 E, BOUNTIFUL, UT 84010-2845
(801) 712-7868
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9880965-3902
UT
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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