Individual provider · Type 1 NPI
Diane M. Threedy
Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT
NPI number
1578864096
Active
Practice location
660 S 200 E
Salt Lake City, UT 84111-3835
Fax (801) 364-4085
Mailing address
1371 Murphys Ln
Salt Lake City, UT 84106-2931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 943008720 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1578864096
Diane M. Threedy's National Provider Identifier is 1578864096, issued on Nov 15, 2010. 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 Nov 15, 2010.