Individual provider · Type 1 NPI

Dedric Dean Davidson, LCSW

Mental Health Counselor · West Jordan, UT

NPI number 1407783665 Active

Practice location

5318 Bagley Park Rd
West Jordan, UT 84081-5885

Call (435) 660-1921 Map

Mailing address

6469 W 7910 S
West Jordan, UT 84081-5885

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10858154-3501 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1407783665

Dedric Dean Davidson, LCSW's National Provider Identifier is 1407783665, issued on May 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Jordan, UT. The record was last updated on May 11, 2026.