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NPI Code Detail

MEDICARE: JUSTIN W. WARD M.S., CMHC

MEDICARE: JUSTIN W. WARD M.S., CMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor14070712-6004UT

General Provider Information

NPI Number : 1104663038
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN W. WARD M.S., CMHC
Provider Business Mailing Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 406-927-8647
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-447-1848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 04/09/2026

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