Provider Demographics
NPI:1609947092
Name:CATLETT, JOHN FREDERICK JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FREDERICK
Last Name:CATLETT
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 E 100 N
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-1665
Mailing Address - Country:US
Mailing Address - Phone:801-465-8484
Mailing Address - Fax:
Practice Address - Street 1:1175 E 100 N
Practice Address - Street 2:SUITE 205
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-1665
Practice Address - Country:US
Practice Address - Phone:801-465-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4959198-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health