Organization · Type 2 NPI
Salt Lake County for Its Youth Services Division
Addiction (Substance Use Disorder) Counselor · South Salt Lake City, UT
NPI number
1912125337
Active
Practice location
177 West Price Ave
South Salt Lake City, UT 84115-4345
Fax (801) 269-7550
Mailing address
2001 South State Street, Suite N4100
Salt Lake City, UT 84190-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 47632166004 (UT) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1169286004 (UT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3470473502 (UT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 56931903502 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1912125337
Salt Lake County for Its Youth Services Division's National Provider Identifier is 1912125337, issued on Apr 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Salt Lake City, UT. The record was last updated on May 8, 2012.