Individual
MR. JACK DAVIS HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 S 800 E APT 203, SALT LAKE CITY, UT 84102-4145
(801) 520-6834
Mailing address
358 S 700 E STE B127, SALT LAKE CITY, UT 84102-2161
(801) 382-7213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8928002-3501
UT
Other
Enumeration date
03/03/2011
Last updated
07/02/2025
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