Individual
RYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 W STATE RD, PLEASANT GROVE, UT 84062-5019
(801) 558-5170
Mailing address
929 S 1850 W, SPRINGVILLE, UT 84663-2716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13007662-6009
UT
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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