RICHARD VISSER

OGDEN, UT
NPI1083278667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT  332287-6009)
Enumeration Date2019-04-29
Last Update Date2019-04-29
Business Address
RICHARD VISSER ASUDC
1708 E 5550 S STE 23
OGDEN, UT 84403-7038
Phone number: 801-475-4673
Mailing Address
RICHARD VISSER ASUDC
1708 E 5550 S STE 23
OGDEN, UT 84403-7038
Phone number: 801-475-4673