Individual
ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LASUDC
Contact information
Practice address
9130 S STATE ST STE 210, SANDY, UT 84070-2681
(801) 998-2116
Mailing address
10696 S OZARKS DR, SOUTH JORDAN, UT 84009-5717
(801) 647-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12275216-6008
UT
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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