Individual provider · Type 1 NPI

Madison Wareham

Addiction (Substance Use Disorder) Counselor · South Jordan, UT

NPI number 1578417036 Active

Practice location

11703 S Harvest Moon Ct
South Jordan, UT 84009-8006

Call (801) 427-3803 Map

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 1578417036

Madison Wareham's National Provider Identifier is 1578417036, issued on Feb 23, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Jordan, UT. The record was last updated on Feb 23, 2026.