Individual
ALLYSON JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC, SSW
Contact information
Practice address
91 E FORT UNION BLVD, MIDVALE, UT 84047-1531
(801) 569-1995
Mailing address
1226 W NORWALK RD, TAYLORSVILLE, UT 84123-1330
(801) 300-6755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13778272-6006
UT
104100000X
Social Worker
13778272-3503
UT
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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