Individual
MR. DOUGLAS PAUL JUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC INTERN
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 359-8510
Mailing address
850 N HIGHWAY 89 APT 6L, NORTH SALT LAKE, UT 84054-1943
(440) 289-5843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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