Individual
JASON ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 658-0604
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 658-0604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8777035-3501
UT
Other
Enumeration date
03/16/2018
Last updated
10/20/2020
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