Individual
MATTHEW ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LSUDC
Contact information
Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
Mailing address
3660 S 900 E APT 401, MILLCREEK, UT 84106-2186
(801) 403-3075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
322852-6006
UT
1041C0700X
Clinical Social Worker
Primary
322852-3501
UT
Other
Enumeration date
12/16/2019
Last updated
02/25/2024
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