Individual provider · Type 1 NPI

Justin Dean Gough

Mental Health Counselor · Taylorsville, UT

NPI number 1578825519 Active

Practice location

2904 Midwest Dr
Taylorsville, UT 84129-2555

Call (801) 963-0783 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X289038-6004 (UT)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Taylorsville

See all in Taylorsville →

About NPI 1578825519

Justin Dean Gough's National Provider Identifier is 1578825519, issued on Jun 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Taylorsville, UT. The record was last updated on Jun 14, 2012.