| Merritt W Stites Lcsw Pc | |
|
559 10th Ave Salt Lake City UT 84103-3108 | |
| (801) 359-2240 | |
| (801) 364-1433 |
| Full Name | Merritt W Stites Lcsw Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 559 10th Ave, Salt Lake City, Utah |
| Authorized Official Name and Position | Merritt W Stites (OWNER) |
| Authorized Official Contact | 8013592240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt W Stites Lcsw Pc 559 10th Ave Salt Lake City UT 84103-3108 Ph: (801) 359-2240 | Merritt W Stites Lcsw Pc 559 10th Ave Salt Lake City UT 84103-3108 Ph: (801) 359-2240 |
| NPI Number | 1700020237 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700020237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 132817-3501 (Utah) | Primary |
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