Individual provider · Type 1 NPI

Tera Ettinger, SUDC

Addiction (Substance Use Disorder) Counselor · Orem, UT

NPI number 1811472574 Active

Practice location

901 S Orem Blvd
Orem, UT 84058-5011

Call (801) 465-5111 Map

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 1811472574

Tera Ettinger, SUDC's National Provider Identifier is 1811472574, issued on Sep 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orem, UT. The record was last updated on Sep 28, 2018.