Jared Landvatter, CPCI

NPI #1417010190 in American Fork, Utah

Provider Information

NPI Number: 1417010190
Entity Type: Individual
Name: Jared Landvatter, CPCI
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CPCI
Enumeration Date: Dec 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 475 W 50 N
Address 2: ALPINE CENTER FOR BEHAVIORAL HEALTH
City: American Fork
State: Utah
ZIP Code: 84003
Phone: (801) 756-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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