Provider Demographics
NPI:1124344460
Name:MORROW, RUTH ANN JOHNSON (CPCI)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANN JOHNSON
Last Name:MORROW
Suffix:
Gender:F
Credentials:CPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 W 525 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8017
Mailing Address - Country:US
Mailing Address - Phone:435-592-5729
Mailing Address - Fax:435-867-4893
Practice Address - Street 1:6484 N 2300 W
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7102
Practice Address - Country:US
Practice Address - Phone:435-867-4876
Practice Address - Fax:435-867-4893
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7359167-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health