Individual
RICHARD VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASUDC
Contact information
Practice address
1708 E 5550 S STE 23, OGDEN, UT 84403-7038
(801) 475-4673
(801) 528-3392
Mailing address
1708 E 5550 S STE 23, OGDEN, UT 84403-7038
(801) 475-4673
(801) 528-3392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
332287-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332287-6009
LICENSE NUMBER
UT
Enumeration date
04/29/2019
Last updated
04/29/2019
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