Individual provider · Type 1 NPI
Lexi Pettibone
Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT
NPI number
1760229892
Active
Practice location
5983 S Redwood Rd
Salt Lake City, UT 84123-5261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760229892
Lexi Pettibone's National Provider Identifier is 1760229892, issued on Jul 15, 2024. 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 Jul 15, 2024.