Individual
ELIAS JOHN MENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
Mailing address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
272503815
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
06/06/2016
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