Individual
MATTHEW BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9523408-3502
UT
1041C0700X
Clinical Social Worker
Primary
9523408-3501
UT
Other
Enumeration date
05/07/2019
Last updated
10/20/2021
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