Individual provider · Type 1 NPI

Lisa Croudy, APC

Professional Counselor · Salt Lake City, UT

NPI number 1114251121 Active

Practice location

450 S 900 E Ste 300
Salt Lake City, UT 84102-3064

Mailing address

4268 Shirley Ln
Salt Lake City, UT 84124-3057

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7630789-6009 (UT)

Professional Counselor: Definition to come...

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About NPI 1114251121

Lisa Croudy, APC's National Provider Identifier is 1114251121, issued on Sep 23, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 8, 2011.