Individual
RHETT RANDALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
2437 E 430 S, SPANISH FORK, UT 84660-4740
(801) 602-4128
Mailing address
2437 E 430 S, SPANISH FORK, UT 84660-4740
(801) 602-4128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8728344-6009
UT
Other
Enumeration date
07/22/2013
Last updated
01/03/2017
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