Individual provider · Type 1 NPI

Phoebe Bergvall

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

NPI number 1679840656 Active

Practice location

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

Call (801) 322-4257 Map

Mailing address

458 3rd Ave., #7
Salt Lake City, UT 84103

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 1679840656

Phoebe Bergvall's National Provider Identifier is 1679840656, issued on Nov 19, 2011. 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 19, 2011.