Doctor Name: | MR. JONATHAN VOIGT |
NPI Number: | 1396066221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 66268173501 |
Business Practice Address: | 5150 S Washington Blvd Suite 1 South Ogden, UT - 844054506 |
Business Phone Number: | 8013370067 |
Business Fax Number: | |
Mailing Address: | 668 N 450 E, OREM |
State: | UT |
Postal Code: | 840974121 |
Phone Number: | 8013678643 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 66268173501 |
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 |