Individual
KENNETH RUSSELL APGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
14241 S REDWOOD RD, BLUFFDALE, UT 84065-5223
(385) 342-2808
Mailing address
14241 S REDWOOD RD, BLUFFDALE, UT 84065-5223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12192422-3904
UT
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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