Johnson, Roderick Verne
Johnson, Roderick Verne is an sole proprietor health care provider with primary practice located at 860 E 4500 S Suite 302, Salt Lake City UT 84107-3002. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Roderick Verne can be contacted via phone (801) 685-9600.Contact Information
Primary practice address
860 E 4500 S Suite 302
Salt Lake City UT 84107-3002
Phone: (801) 685-9600
Fax: (801) 268-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 134722-3501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 134722-3501 | Utah |
Profile Details
| NPI number | 1780672915 |
|---|---|
| LBN Legal business name | Johnson, Roderick Verne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Nov 5th, 2012 - about 12 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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