Individual
TRUDY LARISSA SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
650 E 4500 S STE 300, 650 E 4500 S STE 300, MURRAY, UT 84107-8410
(801) 261-3500
(385) 500-3690
Mailing address
650 E 4500 S STE 300, MURRAY, UT 84107-4502
(801) 261-3500
(385) 500-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
51392806004
UT
Other
Enumeration date
11/17/2011
Last updated
04/25/2025
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