Individual provider · Type 1 NPI

Edward John Kovacs Iii, CADC-INTERN

Addiction (Substance Use Disorder) Counselor · Slc, UT

NPI number 1245605336 Active

Practice location

344 E 100 S Ste 301
Slc, UT 84111-1727

Call (801) 322-4257 Map

Mailing address

5800 Vegas Dr
Las Vegas, NV 89108-2468

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01433 - INTERN (NV)

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

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About NPI 1245605336

Edward John Kovacs Iii, CADC-INTERN's National Provider Identifier is 1245605336, issued on Dec 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Slc, UT. The record was last updated on Dec 1, 2015.