Individual
MR. PATRICK K SURRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM, CPSS
Contact information
Practice address
3896 W 10385 S, SOUTH JORDAN, UT 84009-8731
(801) 413-9172
Mailing address
3896 W 10385 S, SOUTH JORDAN, UT 84009-8731
(801) 413-9172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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