Individual
MR. ALEXANDER CARBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
352 S DENVER ST STE 350, SALT LAKE CITY, UT 84111-3059
(801) 521-4227
(801) 359-0777
Mailing address
3510 TYLER AVE, OGDEN, UT 84403-2164
(404) 661-2895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13689033-3502
UT
1041C0700X
Clinical Social Worker
Primary
13689033-3502
UT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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