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Individual

MICHAEL WESLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
815 W 410 S, SUITE #110, SPRINGVILLE, UT 84663
(801) 477-4084
Mailing address
815 W 410 S, SUITE #110, SPRINGVILLE, UT 84663
(801) 477-4084

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12844624-3902
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UT

Other

Enumeration date
04/27/2022
Last updated
04/02/2026
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