Individual
MR. DAVID ALAN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
(435) 843-3555
Mailing address
1465 N MAIN ST, RUSH VALLEY, UT 84069-9749
(435) 837-2223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1296206004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001587101
INTRMTN. HEALTH CARE
UT
01
—
297800
DESERET MUTUAL
UT
01
—
942938348SH1
EDUCATORS MUTUAL
UT
Enumeration date
01/24/2006
Last updated
07/09/2007
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