Individual
RUSSELL PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
13020967-3502
UT
104100000X
Social Worker
Primary
—
UT
104100000X
Social Worker
—
—
Other
Enumeration date
08/16/2022
Last updated
06/25/2026
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