Individual
STANLEY RAY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASUDC
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
(801) 293-3310
Mailing address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
(801) 293-3310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11484886-6018
UT
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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