Individual
MR. THOMAS GENE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1670 E 1300 S, #211, SALT LAKE CITY, UT 84105-1700
(801) 583-7450
Mailing address
2055 LAIRD DR, SALT LAKE CITY, UT 84108-1901
(801) 583-7450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121781-3501
UT
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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