Individual
JUSTYN MICHAEL CHRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC, SUDC
Contact information
Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
Mailing address
3739 E CRIMSON FAIRWAY DR, WASHINGTON, UT 84780-1897
(435) 668-4848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851312-6009
UT
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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