Individual
STEVEN MAX ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
1174 E GRAYSTONE WAY, SALT LAKE CITY, UT 84106-2673
(801) 516-9054
Mailing address
2337 E OLYMPUS VISTA CT, SALT LAKE CITY, UT 84124-2820
(801) 516-9054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9060966-6009
UT
101YM0800X
Mental Health Counselor
Primary
9060966-6009
UT
Other
Enumeration date
01/29/2013
Last updated
05/20/2022
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