Individual provider · Type 1 NPI

Amanda Liesta Masellis, CADC-I, SUDC

Addiction (Substance Use Disorder) Counselor · Murray, UT

NPI number 1851742001 Active

Practice location

164 E 5900 S Ste 101
Murray, UT 84107-7256

Call (801) 261-5790 Map

Fax (801) 261-5794

Other practice locations

  • 2060 Campus Dr, Yreka, CA 96097-9538 · (530) 841-4100
  • 310 Harris Ave Ste A, Sacramento, CA 95838 · (916) 649-6793

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCI10940218 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11822780-6006 (UT)

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

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About NPI 1851742001

Amanda Liesta Masellis, CADC-I, SUDC's National Provider Identifier is 1851742001, issued on Jun 29, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Murray, UT. The record was last updated on Nov 6, 2020.