Farris, Sam Leslie

Farris, Sam Leslie is an sole proprietor health care provider with primary practice located at 411 N Grant St , Salt Lake City UT 84116-2725. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Farris, Sam Leslie can be contacted via phone (801) 359-8862.

Contact Information

Primary practice address
411 N Grant St Salt Lake City UT 84116-2725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6016166-6004 Utah

Profile Details

NPI number 1174662282
LBN Legal business name Farris, Sam Leslie
Credentials CMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Apr 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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