Individual provider · Type 1 NPI

Keith Michael Lederhaus, CSW

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1639449382 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Call (801) 322-4257 Map

Mailing address

474 7th Ave Unit B
Salt Lake City, UT 84103-3046

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 1639449382

Keith Michael Lederhaus, CSW's National Provider Identifier is 1639449382, issued on Jan 11, 2012. 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 Jan 11, 2012.