Individual provider · Type 1 NPI

Johnathon Dahlin Peterson, LCMHC, LPC

Mental Health Counselor · South Jordan, UT

NPI number 1487381869 Active

Practice location

1268 W South Jordan Pkwy Ste 300
South Jordan, UT 84095-4653

Call (801) 515-5850 Map

Fax (801) 254-9755

Mailing address

PO Box 95868
South Jordan, UT 84095-0868

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X95059 (TX)
Mental Health Counselor Primary 101YM0800X11125479-6004 (UT)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1487381869

Johnathon Dahlin Peterson, LCMHC, LPC's National Provider Identifier is 1487381869, issued on Aug 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Jordan, UT. The record was last updated on Sep 25, 2024.