Individual
JOHN MITCHELL VATERLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
175 W 1400 N STE A, LDS FAMILY SERVICES, LOGAN, UT 84341
(435) 752-5302
(435) 753-9007
Mailing address
175 W 1400 N STE A, LDS FAMILY SERVICES, LOGAN, UT 84341
(435) 752-5302
(435) 753-9007
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7490342-3902
UT
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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