Individual provider · Type 1 NPI

Philip Jason Siddoway

Mental Health Counselor · Salt Lake City, UT

NPI number 1013660109 Active

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Call (801) 428-4257 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013660109

Philip Jason Siddoway's National Provider Identifier is 1013660109, issued on Jan 30, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 30, 2022.