Individual
DONALD WILLIAM WHEAT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADVANCED SUDC
Contact information
Practice address
4905 S 900 E, MURRAY, UT 84117-5703
(801) 865-1095
Mailing address
4905 S 900 E, MURRAY, UT 84117-5703
(801) 865-1095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14190923-6008
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
2468
DC
Other
Enumeration date
11/19/2024
Last updated
12/10/2024
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