Individual provider · Type 1 NPI

Simon Kuczinna

Addiction (Substance Use Disorder) Counselor · Herriman, UT

NPI number 1386517274 Active

Practice location

14551 Sentinel Ridge Blvd
Herriman, UT 84096

Call (801) 957-6625 Map

Mailing address

3559 S Montclair St
Magna, UT 84044-2474

Specialties and licenses

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

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

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About NPI 1386517274

Simon Kuczinna's National Provider Identifier is 1386517274, issued on Sep 26, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Herriman, UT. The record was last updated on Sep 26, 2025.