Doctor Name: | JULIE MITTON |
NPI Number: | 1043695844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 50285403501 |
Business Practice Address: | 440 W 600 N Tremonton, UT - 843372400 |
Business Phone Number: | 8442484110 |
Business Fax Number: | 4357349761 |
Mailing Address: | 440 W 600 N, TREMONTON |
State: | UT |
Postal Code: | 843372400 |
Phone Number: | 8442484110 |
Fax Number: | 4357349761 |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 50285403501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |