Individual provider · Type 1 NPI
Glenn Scott Pruden, S.S.W.
Mental Health Counselor · Salt Lake City, UT
NPI number
1659679249
Active
Practice location
5965 S 900 E
Salt Lake City, UT 84121-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 136020-3503 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1659679249
Glenn Scott Pruden, S.S.W.'s National Provider Identifier is 1659679249, issued on Mar 4, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 4, 2011.