Individual provider · Type 1 NPI
Bergen D. Russon
Recreation Therapist · South Jordan, UT
NPI number
1861952913
Active
Practice location
11175 S Redwood Rd
South Jordan, UT 84095-8208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 11046853-4002 (UT) |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
8 other providers at this address
- Matthew MayaClinical Social Worker South Jordan, UT NPI 1568322022
- Stillwater AcademyPsychiatric Residential Treatment Facility South Jordan, UT NPI 1780004192
- Jill HodgeMarriage & Family Therapist South Jordan, UT NPI 1104200377
- Matthew Maya, LCSWClinical Social Worker South Jordan, UT NPI 1730878737
- Richard Michael Reimann, ASUDC SSWAddiction (Substance Use Disorder) Counselor South Jordan, UT NPI 1467012195
- Robert Scott Jones, CMHCMental Health Counselor South Jordan, UT NPI 1427517424
- Rulon Mark Hinckley, PhD, LMFTClinical Social Worker South Jordan, UT NPI 1679638191
- Tanya Radomski, LMFTMarriage & Family Therapist South Jordan, UT NPI 1922301001
Other recreation therapist providers in South Jordan
About NPI 1861952913
Bergen D. Russon's National Provider Identifier is 1861952913, issued on Mar 24, 2019. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in South Jordan, UT. The record was last updated on Mar 24, 2019.