Individual
MYLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 322-4257
Mailing address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3272
(385) 800-3260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9438804-3501
UT
Other
Enumeration date
01/17/2012
Last updated
10/11/2019
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