Individual
ADRIAN BENITO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4931 S 900 E, MURRAY, UT 84117-5779
(801) 479-7035
Mailing address
1240 N OAKLEY ST, SALT LAKE CITY, UT 84116-3614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14222711-6006
UT
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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