Individual
TRENT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
3740 W MARKET CENTER DR, SUITE 1200, LDS FAMILY SERVICES, RIVERTON, UT 84065-8026
(801) 240-9436
Mailing address
3740 W MARKET CENTER DR, SUITE 1200, LDS FAMILY SERVICES, RIVERTON, UT 84065-8026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90824446009
UT
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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