Individual
DAXTON MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5296 S 300 W, SALT LAKE CITY, UT 84107-4767
(801) 921-7854
Mailing address
1848 E AMERICAN WAY UNIT 9, EAGLE MOUNTAIN, UT 84005-6316
(801) 864-0600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/20/2026
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