Individual
MARIE RUSHFORTH-NUTTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1537 S MAIN ST, SALT LAKE CITY, UT 84115-5315
(801) 712-3252
Mailing address
1537 S MAIN ST, SALT LAKE CITY, UT 84115-5315
(801) 712-3252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
336028-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3360028-6004
STATE OF UTAH, DEPARTMENT OF COMMERCE
UT
Enumeration date
03/05/2007
Last updated
08/18/2008
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