Individual provider · Type 1 NPI

Debra Gough, LSAC

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

NPI number 1326346784 Active

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Call (801) 263-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X358791-6006 (UT)

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

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About NPI 1326346784

Debra Gough, LSAC's National Provider Identifier is 1326346784, issued on Mar 9, 2011. 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 Mar 9, 2011.