Individual provider · Type 1 NPI

Steven David Bristow

Mental Health Counselor · Salt Lake City, UT

NPI number 1679988232 Active

Practice location

344 E 100 S, Ste 301
Salt Lake City, UT 84111-1700

Mailing address

185 W Carrick Dr
Salt Lake City, UT 84115-3068

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9052100-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1679988232

Steven David Bristow's National Provider Identifier is 1679988232, issued on Jun 23, 2014. 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 Jun 23, 2014.