Philip Jason Siddoway
Counselor, Mental Health in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1013660109
StatusActive
Last updated in NPPESJan 30, 2022
Details
- NPI
- 1013660109
- Entity type
- Individual (NPI-1)
- Name
- Philip Jason Siddoway
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2022
- Certification date
- Jan 30, 2022
- Last updated
- Jan 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
344 E 100 S Ste 301Salt Lake City, UT 84111-1727
Phone 801-428-4257
Mailing address
344 E 100 S Ste 301Salt Lake City, UT 84111-1727
Phone 801-428-4257
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All 639 Mental Health Counselor providers in Salt Lake City · All 24,510 providers in Salt Lake City
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