Individual
MR. MARK EVAN JUESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
825 E 9085 S, SANDY, UT 84094-3065
(801) 826-6678
Mailing address
498 W SUNSET CREST WAY, DRAPER, UT 84020-7301
(760) 401-1970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11360901-3904
UT
Other
Enumeration date
04/24/2008
Last updated
03/01/2021
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