Individual provider · Type 1 NPI
John Richard Shavers, PhD
Mental Health Counselor · Salt Lake City, UT
NPI number
1164487245
Active
Practice location
1408 E Parkway Ave
Salt Lake City, UT 84106-3558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 323635-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1164487245
John Richard Shavers, PhD's National Provider Identifier is 1164487245, issued on Apr 20, 2006. 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 Jul 13, 2026.