Individual provider · Type 1 NPI

Wendy Gore, SUPPORT STAFF

Addiction (Substance Use Disorder) Counselor · Slc, UT

NPI number 1801140397 Active

Practice location

344 E 100 S Ste 301
Slc, UT 84111-1727

Call (801) 322-4257 Map

Mailing address

2907 E Oakridge Dr
Slc, UT 84109-3611

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 1801140397

Wendy Gore, SUPPORT STAFF's National Provider Identifier is 1801140397, issued on Nov 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Slc, UT. The record was last updated on Nov 5, 2012.