Individual
JEFFREY LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
474 W 200 N, SUITE 100, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
276187-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276187-3902
STATE LICENSE
UT
Enumeration date
01/31/2007
Last updated
07/08/2007
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