Healthcare Provider Details

I. General information

NPI: 1215863683
Provider Name (Legal Business Name): JOSEPH GIRON ACMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6076 S 900 E STE 102
MURRAY UT
84121-1762
US

IV. Provider business mailing address

660 E WILMINGTON AVE UNIT 523
SALT LAKE CITY UT
84106-6430
US

V. Phone/Fax

Practice location:
  • Phone: 801-738-7616
  • Fax:
Mailing address:
  • Phone: 801-970-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14202198-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: