Individual
ISRAEL PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
(801) 255-0281
Mailing address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
(801) 255-0281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6492884-6009
UT
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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