Individual
ELIJAH EDWARD REIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047-1436
(888) 759-5846
Mailing address
3697 W CORDELLE CIR, WEST JORDAN, UT 84084-1704
(385) 237-9987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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