Provider Demographics
NPI:1114222361
Name:ALDRIDGE, AARON DAVID (LPC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:DAVID
Last Name:ALDRIDGE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 W SOUTH JORDAN PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-5506
Mailing Address - Country:US
Mailing Address - Phone:801-910-5896
Mailing Address - Fax:801-446-7746
Practice Address - Street 1:3744 W 12180 S
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7644
Practice Address - Country:US
Practice Address - Phone:801-910-5896
Practice Address - Fax:801-446-7746
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT61506346004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional