Individual
RYAN LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3714 E CAMPUS DR STE 101, EAGLE MOUNTAIN, UT 84005-5451
(801) 789-7780
Mailing address
3714 E CAMPUS DR STE 101, EAGLE MOUNTAIN, UT 84005-5451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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