Individual
DREW KAPONO BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9071 S 1300 W STE 301, WEST JORDAN, UT 84088-6675
(801) 565-1162
(801) 565-1168
Mailing address
6967 S RIVERGATE DRIVE, #100, MIDVALE, UT 84047-1575
(801) 565-1162
(801) 565-1168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HT002258-001
—
UT
Enumeration date
08/09/2016
Last updated
06/07/2023
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