Individual
STEVEN DAVID BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
185 W CARRICK DR, SALT LAKE CITY, UT 84115-3068
(801) 885-3602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9052100-6009
UT
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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