CHARLES LOOSEMORE

LAYTON, UT
NPI1437616273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  14249)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2019-02-28
Last Update Date2023-02-14
Business Address
CHARLES LOOSEMORE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
Mailing Address
CHARLES LOOSEMORE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060