Individual provider · Type 1 NPI

Douglas Paul Jungquist, MHC INTERN

Mental Health Counselor · Salt Lake City, UT

NPI number 1619274040 Active

Practice location

411 Grant St
Salt Lake City, UT 84116-2725

Fax (801) 359-8510

Mailing address

850 N Highway 89 Apt 6L
North Salt Lake, UT 84054-1943

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619274040

Douglas Paul Jungquist, MHC INTERN's National Provider Identifier is 1619274040, issued on Feb 21, 2011. 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 Feb 21, 2011.