Individual provider · Type 1 NPI
Alicia Ann Shupe, SUDC
Addiction (Substance Use Disorder) Counselor · Provo, UT
NPI number
1326343476
Active
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Fax (801) 373-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 7753217-6006 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1326343476
Alicia Ann Shupe, SUDC's National Provider Identifier is 1326343476, issued on Jan 21, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Jun 5, 2020.