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NPI Code Detail

MEDICARE: MRS. RUTH ANN JOHNSON MORROW CPCI

MEDICARE: MRS. RUTH ANN JOHNSON MORROW CPCI
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 Counselor7359167-6009UT

General Provider Information

NPI Number : 1124344460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH ANN JOHNSON MORROW CPCI
Provider Business Mailing Address
First Line : 4120 W 525 N
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-8017
Country : US
Telephone Number : 435-592-5729
Fax Number : 435-867-4893
Provider Business Practice Location Address
First Line : 6484 N 2300 W
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-7102
Country : US
Telephone Number : 435-867-4876
Fax Number : 435-867-4893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 04/12/2010

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