Provider Demographics
NPI:1508178724
Name:GARSO, WILLIAM PERRY (CMHC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:PERRY
Last Name:GARSO
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8511 JARDIM WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-1071
Mailing Address - Country:US
Mailing Address - Phone:801-453-0616
Mailing Address - Fax:
Practice Address - Street 1:9287 S REDWOOD RD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5586
Practice Address - Country:US
Practice Address - Phone:801-208-1901
Practice Address - Fax:801-880-0493
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT288401-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health