Individual provider · Type 1 NPI
Preston Surrage, CMHC
Mental Health Counselor · Layton, UT
NPI number
1366862914
Active
Practice location
934 S Main St
Layton, UT 84041-7135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 10611479-6009 (UT) |
| Mental Health Counselor Primary | 101YM0800X | 10611479-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1366862914
Preston Surrage, CMHC's National Provider Identifier is 1366862914, issued on Apr 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Layton, UT. The record was last updated on Oct 16, 2020.