| Justin Dean Gough, | |
|
2904 Midwest Dr, Taylorsville, UT 84129-2555 | |
| (801) 963-0783 | |
| Not Available |
| Full Name | Justin Dean Gough |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2904 Midwest Dr, Taylorsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578825519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 289038-6004 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Dean Gough, 2904 Midwest Dr, Taylorsville, UT 84129-2555 Ph: () - | Justin Dean Gough, 2904 Midwest Dr, Taylorsville, UT 84129-2555 Ph: (801) 963-0783 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |