Individual
TYSON SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
75 E FORT UNION BLVD UNIT 142, MIDVALE, UT 84047-1531
(661) 747-6973
Mailing address
2962 W 5500 S, ROY, UT 84067-1214
(661) 747-6973
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11266158-3902
UT
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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