Individual
CHRISTOFFER LAYTON LODERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2319 FOOTHILL DR, SUITE #240, SALT LAKE CITY, UT 84109
(801) 203-0082
Mailing address
2319 FOOTHILL DR, SUITE #240, SALT LAKE CITY, UT 84109
(801) 203-0082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
14044069-3501
UT
Other
Enumeration date
08/14/2020
Last updated
06/26/2024
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