Provider Demographics
NPI:1689738130
Name:HOWARD, JOHN WESLEY (LMFT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WESLEY
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 DEERE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-3203
Mailing Address - Country:US
Mailing Address - Phone:801-628-3512
Mailing Address - Fax:801-771-4395
Practice Address - Street 1:1361 N 1075 W
Practice Address - Street 2:SUITE 11
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2750
Practice Address - Country:US
Practice Address - Phone:801-628-3512
Practice Address - Fax:801-771-4395
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4935093-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist