Individual
THOMAS LAWRENCE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 W 200 N, KAYSVILLE, UT 84037-2406
(801) 712-1061
Mailing address
845 W 200 N, KAYSVILLE, UT 84037-2406
(801) 712-1061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13395965-6005
UT
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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