Individual
SEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
255 E 400 S, SALT LAKE CITY, UT 84111-2846
(801) 538-8800
Mailing address
255 E 400 S, SALT LAKE CITY, UT 84111-2846
(801) 538-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9846224-6009
UT
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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