Mark Andrew Rainsdon, LCSW
Social Worker, Clinical in Roy, UT. Individual provider (NPI-1).
NPI number1982179727
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1982179727
- Entity type
- Individual (NPI-1)
- Name
- Mark Andrew Rainsdon
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2018
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9431148-3501 | UT | Yes |
Practice location
3948 S 2075 WRoy, UT 84067-3508
Phone 208-681-0558
Mailing address
3948 S 2075 WRoy, UT 84067-3508
Phone 208-681-0558
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