Individual
JONATHAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 S STATE ST FL 2, SALT LAKE CITY, UT 84115-2724
(801) 359-8862
Mailing address
15067 S WINGED BLUFF LN, DRAPER, UT 84020-5719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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