Jonathan Marble, ACMHC

NPI 1932620531 · on the registry since 2017 · sole proprietor

Practice

Address: 10757 S River Front Pkwy Ste 275
South Jordan, UT 84095
Phone: (801) 808-3283
Organisation at this address: Golden Age Transport Llc
Diversified Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-07-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah