Individual
ZACHERY PAUL SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW 13703383-3501
Contact information
Practice address
174 W 700 N APT C, LOGAN, UT 84321-3296
(801) 657-1241
Mailing address
174 W 700 N APT C, LOGAN, UT 84321-3296
(801) 657-1241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13703383-3501
UT
1041C0700X
Clinical Social Worker
766
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
07/22/2013
Last updated
08/11/2026
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