Individual provider · Type 1 NPI

Ty Jensen, ASUDC

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

NPI number 1134091283 Active

Practice location

3570 S West Temple
South Salt Lake, UT 84115-4408

Call (801) 533-0070 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13440516-6008 (UT)

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

Other addiction (substance use disorder) counselor providers in South Salt Lake

See all in South Salt Lake →

About NPI 1134091283

Ty Jensen, ASUDC's National Provider Identifier is 1134091283, issued on Sep 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Salt Lake, UT. The record was last updated on Sep 18, 2025.