Trevor Ryan Poulson

NPI #1174955132 in Mt Pleasant, Utah

Provider Information

NPI Number: 1174955132
Entity Type: Individual
Name: Trevor Ryan Poulson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 1, 2013
Last Updated: Aug 1, 2013

Practice Location

Address: 18750 N 6750 E
City: Mt Pleasant
State: Utah
ZIP Code: 84647-2309
Phone: (801) 375-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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