person
Russell Edward Peters
Mental Health Counselor in Sandy, Utah
NPI 1912464546

Russell Edward Peters is a Mental Health Counselor based in Sandy, UT and is specialized in Mental Health. Russell Edward Peters practices in Sandy, UT. The NPI Number for Russell Edward Peters is 1912464546 and holds a License No. MC60655977 (Utah).

The current practice location address for Russell Edward Peters is 10708 S 1300 E Ste 103, Sandy, UT and can be reached out via phone at 801-557-0674. You can also correspond with Russell Edward Peters through the mailing address at 10708 S 1300 E STE 103, SANDY, UT - 84094-5027 (mailing address contact number: 801-557-0674).

Location: 10708 S 1300 E Ste 103, Sandy, UT, 84094-5027
person
Provider Profile Details
NPI Number
1912464546
Provider Name
Russell Edward Peters
Credential
Provider Entity Type
Individual
Gender
Male
Address
10708 S 1300 E Ste 103, Sandy, UT, 84094-5027
Phone Number
801-557-0674
Fax Number
Provider Enumeration Date
03/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10708 S 1300 E Ste 103
City
State
Zip
84094-5027
Phone Number
801-557-0674
Fax Number
person
Provider Business Mailing Address Details
Address
10708 S 1300 E Ste 103
City
State
Zip
84094-5027
Phone Number
801-557-0674
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC60655977 (Washington)
Definition
Definition to come...
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