Healthcare Provider Details

I. General information

NPI: 1528426327
Provider Name (Legal Business Name): JOEL DOWNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2016
Last Update Date: 01/01/2024
Certification Date: 01/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 E 1300 N
LOGAN UT
84341-2570
US

IV. Provider business mailing address

655 E 1300 N
LOGAN UT
84341-2570
US

V. Phone/Fax

Practice location:
  • Phone: 435-792-6454
  • Fax: 435-792-6608
Mailing address:
  • Phone: 435-792-6454
  • Fax: 435-792-6608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9526101-6009
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: