Individual provider · Type 1 NPI

Corey James Markisich, LSAC

Addiction (Substance Use Disorder) Counselor · Midvale, UT

NPI number 1033438288 Active

Practice location

7300 S 300 W, Suite 101
Midvale, UT 84047-1962

Call (801) 984-1717 Map

Fax (801) 984-1720

Mailing address

2179 N 725 W
West Bountiful, UT 84087-1104

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7220715-6006 (UT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033438288

Corey James Markisich, LSAC's National Provider Identifier is 1033438288, issued on May 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Midvale, UT. The record was last updated on May 3, 2012.