Individual
TOD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9263 REDWOOD RD, STE B, WEST JORDAN, UT 84088-6571
(801) 566-8749
Mailing address
9263 REDWOOD ROAD, STE B, WEST JORDAN, UT 84088
(801) 566-8749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
263220-3501
UT
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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