Individual
JOHN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
224 N OREM BLVD, OREM, UT 84057-6601
(801) 222-0603
(801) 222-0218
Mailing address
PO BOX 51275, PROVO, UT 84605-1275
(801) 222-0603
(801) 222-0218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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