Individual provider · Type 1 NPI

Matthew Adrian Jackman

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1891071973 Active

Practice location

447 Bearcat Dr
Salt Lake City, UT 84115-2519

Call (801) 355-2846 Map

Fax (801) 359-3244

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 1891071973

Matthew Adrian Jackman's National Provider Identifier is 1891071973, issued on Nov 2, 2011. 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 Nov 2, 2011.