Individual
MR. JAMES HENRY MACEDONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
179 N 1200 E STE 101, LEHI, UT 84043-2148
(801) 806-4878
Mailing address
1720 N 1900 W, LEHI, UT 84043-3094
(385) 201-7236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11841891-6009
UT
171R00000X
Interpreter
77-0608544
UT
Other
Enumeration date
11/09/2013
Last updated
07/08/2020
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