Individual provider · Type 1 NPI

Ryan J. Rutherford

Counselor · Provo, UT

NPI number 1417260324 Active

Practice location

619 N 500 W
Provo, UT 84601-1547

Fax (801) 375-4241

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1417260324

Ryan J. Rutherford's National Provider Identifier is 1417260324, issued on Jul 20, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Provo, UT. The record was last updated on Jul 20, 2010.