Individual
TRENTON MATTHEW HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 E 200 S, CLEARFIELD, UT 84015-1047
(801) 779-0095
Mailing address
2617 WOODLAND DR, OGDEN, UT 84403-5113
(805) 587-0527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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