Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DEAN GOUGH
Active Sole ProprietorMental Health Counselor · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1578825519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2012 (13.881737336483 yrs)
- Last Updated
- Jun 14, 2012
- License
-
289038-6004 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2904 MIDWEST DRTAYLORSVILLE, UT, 841292555Browse UT providers · Browse ZIP 84129
- Phone
- 8019630783
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in TAYLORSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| LEEANN MCCONNELL | LCSW | 1922075019 |
| CATHE MADISON | LCSW | 1245207331 |
| MELANIE ORN | CMHC | 1427143411 |
| MRS. DIANE ANNETTE PASSEY | CPCI | 1013002856 |
| LANI KAINA HAAHEO ETE | CPCI | 1255518080 |
| KIMBERLY ERIN HURZELER | CPCI | 1750552352 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.