Individual
PETER ANDREW DANZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1610 W 500 N, SALT LAKE CITY, UT 84116-2517
(801) 865-9029
Mailing address
1610 W 500 N, SALT LAKE CITY, UT 84116-2517
(801) 865-9029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5661960-3501
UT
Other
Enumeration date
11/07/2006
Last updated
03/01/2014
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