Individual
RYAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
9135 S MONROE PLAZA WAY STE C, SANDY, UT 84070-2692
(801) 879-1629
Mailing address
9135 S MONROE PLAZA WAY STE C, SANDY, UT 84070-2692
(801) 879-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
129164036004
UT
Other
Enumeration date
07/02/2015
Last updated
12/10/2025
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