Individual provider · Type 1 NPI
David Jonathan Wilde, CMHC
Professional Counselor · Sandy, UT
NPI number
1669785440
Active
Practice location
10038 S Countrywood Dr
Sandy, UT 84092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4925801-6009 (UT) |
Professional Counselor: Definition to come...
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About NPI 1669785440
David Jonathan Wilde, CMHC's National Provider Identifier is 1669785440, issued on Jul 21, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sandy, UT. The record was last updated on May 30, 2018.