Individual provider · Type 1 NPI

Elaine McKibbin

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

NPI number 1255084067 Active

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Mailing address

380 S 400 E Apt 427
Salt Lake City, UT 84111-2933

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1255084067

Elaine McKibbin's National Provider Identifier is 1255084067, issued on Feb 1, 2022. 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 Feb 1, 2022.