Provider Demographics
NPI:1851197958
Name:SALMON, KEVIN MICHAEL (CMHC-INTERN)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:MICHAEL
Last Name:SALMON
Suffix:
Gender:
Credentials:CMHC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8273 S SKYLINE ARCH DR
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-5637
Mailing Address - Country:US
Mailing Address - Phone:801-865-1975
Mailing Address - Fax:
Practice Address - Street 1:8069 S OAKRIDGE DR.
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84081
Practice Address - Country:US
Practice Address - Phone:801-674-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor