Individual provider · Type 1 NPI

Susan Kimball, CSAC

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1063732147 Active

Practice location

280 M St
Salt Lake City, UT 84103-3548

Call (801) 359-4229 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X56777276005 (UT)

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

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About NPI 1063732147

Susan Kimball, CSAC's National Provider Identifier is 1063732147, issued on Jun 10, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 10, 2010.