Individual
DEREK CRAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
11706 700 E, DRAPER, UT 84020
(801) 260-6669
Mailing address
743 S WINDSOR ST, SALT LAKE CITY, UT 84102-3614
(801) 875-7534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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