Individual
TYLER MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3610 S 1000 W, SOUTH SALT LAKE, UT 84119-7829
(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
—
—
Other
Enumeration date
09/14/2017
Last updated
10/16/2018
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