Individual provider · Type 1 NPI

Madison Waller

Addiction (Substance Use Disorder) Counselor · Taylorsville, UT

NPI number 1992531883 Active

Practice location

3809 W 6200 S
Taylorsville, UT 84129-3725

Call (801) 963-4360 Map

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-5427

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14153492-6006 (UT)

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

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About NPI 1992531883

Madison Waller's National Provider Identifier is 1992531883, issued on Sep 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taylorsville, UT. The record was last updated on Sep 9, 2024.