Individual
ZACHARY TAFT VANLEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321
(435) 799-5035
Mailing address
115 GOLF COURSE RD STE E, LOGAN, UT 84321
(435) 799-5035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12086457-3904
UT
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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