Individual
SUSANNAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 W SOUTH JORDAN PKWY STE B, SOUTH JORDAN, UT 84095-5505
(385) 215-9084
Mailing address
3577 S MILLBROOK CIR, SALT LAKE CITY, UT 84106-3888
(801) 635-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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