Individual
RYAN VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
415 MEDICAL DR STE B101, BOUNTIFUL, UT 84010-4989
(385) 259-2269
Mailing address
858 N LAFAYETTE DR, SALT LAKE CITY, UT 84116-2148
(385) 259-2269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10835115-6009
UT
Other
Enumeration date
09/12/2020
Last updated
12/08/2020
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