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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X943008720 (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.