Individual provider · Type 1 NPI

Charles Loosemore

Addiction (Substance Use Disorder) Counselor · Layton, UT

NPI number 1437616273 Active

Practice location

934 S Main St
Layton, UT 84041-7135

Call (801) 773-7060 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14249 (CA)
Peer Specialist 175T00000XNone listed

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About NPI 1437616273

Charles Loosemore's National Provider Identifier is 1437616273, issued on Feb 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Layton, UT. The record was last updated on Feb 14, 2023.