person
Paul Stiles Randak
Mental Health Counselor in Sandy, Utah
NPI 1811486442

Paul Stiles Randak is a Mental Health Counselor based in Sandy, UT and is specialized in Mental Health. Paul Stiles Randak practices in Sandy, UT. The NPI Number for Paul Stiles Randak is 1811486442 and holds a License No. 376787-6006 (Utah).

The current practice location address for Paul Stiles Randak is 850 E 9400 S Ste 103, Sandy, UT and can be reached out via phone at 801-450-0199 and via fax at 888-503-2513. You can also correspond with Paul Stiles Randak through the mailing address at 2560 E WOODCHUCK WAY, SANDY, UT - 84093-2813 (mailing address contact number: 801-450-0199).

Location: 850 E 9400 S Ste 103, Sandy, UT, 84093-2813
person
Provider Profile Details
NPI Number
1811486442
Provider Name
Paul Stiles Randak
Credential
Provider Entity Type
Individual
Gender
Male
Address
850 E 9400 S Ste 103, Sandy, UT, 84093-2813
Phone Number
801-450-0199
Fax Number
888-503-2513
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
850 E 9400 S Ste 103
City
State
Zip
84094-4104
Phone Number
801-450-0199
Fax Number
888-503-2513
person
Provider Business Mailing Address Details
Address
850 E 9400 S Ste 103
City
State
Zip
84094-4104
Phone Number
801-450-0199
Fax Number
888-503-2513
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
376787-3904 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
376787-6006 (Utah)
Definition
Definition to come...
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