Individual
MR. KYLE PAUL CROSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
1020 S MAIN ST STE 100, SALT LAKE CITY, UT 84101-3194
(888) 949-4864
Mailing address
4460 S. HIGHLAND DR., SALT LAKE CITY, UT 84124-3503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10683988-6009
UT
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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