Individual
ADAM ROSS MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
447 N 300 W STE 7, KAYSVILLE, UT 84037-4203
(801) 414-5894
(801) 451-5073
Mailing address
582 RIGBY RD, FARMINGTON, UT 84025-4404
(801) 414-5894
(801) 451-5073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
328947-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC0000164309
VENDOR NUMBER WITH UTAH STATE OFFICE OF REHABILITATION
UT
Enumeration date
03/20/2012
Last updated
07/06/2015
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