Individual
JUSTIN MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASUDC
Contact information
Practice address
1456 E 820 N, OREM, UT 84097-5481
(801) 900-1353
Mailing address
1486 E 880 N, OREM, UT 84097-5413
(801) 822-4739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3443536018
UT
101YM0800X
Mental Health Counselor
Primary
344353-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344353-6009
—
UT
Enumeration date
11/17/2018
Last updated
05/23/2023
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