Individual provider · Type 1 NPI

Courtney Averett, SUDC

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

NPI number 1194695445 Active

Practice location

392 E 3900 S
Salt Lake City, UT 84107-1615

Mailing address

4229 S 3100 E
Salt Lake City, UT 84124-3010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4982174-6006 (UT)

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

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About NPI 1194695445

Courtney Averett, SUDC's National Provider Identifier is 1194695445, issued on Nov 10, 2025. 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 Nov 10, 2025.