Individual
DAMIEN HAYDEN DIZONNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1111 E BRICKYARD RD APT 255, SALT LAKE CITY, UT 84106-2985
(402) 651-5739
Mailing address
1111 E BRICKYARD RD APT 255, SALT LAKE CITY, UT 84106-2985
(402) 651-5739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12994284-6004
UT
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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