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Individual

MR. CARL BARRY SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., CMHC

Contact information

Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5705314-6004
UT
101YP2500X
Professional Counselor
5705314-6004
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1REDSOX
UT
Enumeration date
12/07/2010
Last updated
04/27/2023
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