Individual
KORY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACM
Contact information
Practice address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
Mailing address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-114073
UT
175T00000X
Peer Specialist
F24-112558
UT
Other
Enumeration date
07/30/2024
Last updated
10/22/2024
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