Individual provider · Type 1 NPI

Ann Talley Coburn, LSAC

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

NPI number 1699076851 Active

Practice location

7601 South Redwood Rd., Building E
West Jordan, UT 84084

Call (801) 233-8670 Map

Fax (801) 233-8682

Mailing address

4187 S 3425 W
West Valley City, UT 84119-5079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X68526866006 (UT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699076851

Ann Talley Coburn, LSAC's National Provider Identifier is 1699076851, issued on Nov 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Jordan, UT. The record was last updated on Nov 4, 2010.