Individual
JONATHAN RAY MARBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
10757 S RIVER FRONT PKWY STE 275, SOUTH JORDAN, UT 84095-3548
(801) 808-3283
Mailing address
6413 W KING VALLEY RD, WEST VALLEY, UT 84128-4212
(801) 808-3283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10380215-6009
UT
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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