Individual
MR. JEFFREY ALLEN LANGWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.S.W.
Contact information
Practice address
1262 W 12700 S STE D, RIVERTON, UT 84065-7830
(385) 468-4610
Mailing address
1262 W 12700 S STE D, RIVERTON, UT 84065-7830
(385) 468-4610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7187196-3503
UT
171M00000X
Case Manager/Care Coordinator
Primary
7187196-3503
UT
Other
Enumeration date
03/05/2011
Last updated
08/15/2013
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