Individual
SAGE J O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, LSAC
Contact information
Practice address
230 W TOWNE RIDGE PKWY STE 225, SANDY, UT 84070-2113
(801) 669-1269
(801) 669-5889
Mailing address
230 W TOWNE RIDGE PKWY STE 225, SANDY, UT 84070-2113
(801) 669-1269
(801) 669-5889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6573731-6006
UT
1041C0700X
Clinical Social Worker
Primary
6573731-3502
UT
Other
Enumeration date
08/10/2010
Last updated
03/13/2012
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