Individual
RICHARD GOODMAN MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
533 26TH ST STE 100, OGDEN, UT 84401-2459
(801) 917-9877
Mailing address
533 26TH ST STE 100, OGDEN, UT 84401-2459
(801) 917-9877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10322445-6009
UT
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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