Individual
STAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
9263 REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
Mailing address
9263 REDWOOD RD BLDG 8, WEST JORDAN, UT 84088-6571
(801) 566-0749
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
378280-3902
UT
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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