Individual provider · Type 1 NPI

Kelsey Tyson

Addiction (Substance Use Disorder) Counselor · Taylorsville, UT

NPI number 1700369246 Active

Practice location

3809 W 6200 S
Taylorsville, UT 84129-3725

Call (801) 963-4360 Map

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3543

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 1700369246

Kelsey Tyson's National Provider Identifier is 1700369246, issued on Sep 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taylorsville, UT. The record was last updated on Sep 11, 2018.