Individual provider · Type 1 NPI

Derek J. Daley

Addiction (Substance Use Disorder) Counselor · Loa, UT

NPI number 1114307808 Active

Practice location

56 South Main St
Loa, UT 84747

Mailing address

56 South Main
Loa, UT 84747

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8870520-6005 (UT)

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

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About NPI 1114307808

Derek J. Daley's National Provider Identifier is 1114307808, issued on Jun 8, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Loa, UT. The record was last updated on Jun 8, 2015.