Individual
EVAN J RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SLC, UT 84111-1700
(801) 322-3397
Mailing address
344 E 100 S, SLC, UT 84111-1700
(801) 322-3397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2019
Last updated
04/03/2026
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