Individual
MARTIN KOFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
435 E TABERNACLE ST, ST GEORGE, UT 84770-2979
(435) 688-1111
(435) 688-8488
Mailing address
435 E TABERNACLE ST, ST GEORGE, UT 84770-2979
(435) 688-1111
(435) 688-8488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
54606186009
UT
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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