Individual
MR. GRANT LEE MURDOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
698 N 1890 W, PROVO, UT 84601-1327
(801) 362-6591
Mailing address
290 E 600 N, MAPLETON, UT 84664-3747
(801) 489-9641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6088162-6009
UT
104100000X
Social Worker
6088162-3503
UT
Other
Enumeration date
03/28/2011
Last updated
08/04/2021
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