person
Mrs. Alicia Ann Shupe, SUDC
Addiction (Substance Use Disorder) Counselor in Provo, Utah
NPI 1326343476

Alicia Ann Shupe is an Addiction (Substance Use Disorder) Counselor based in Provo, UT and is specialized in Addiction (Substance Use Disorder). Alicia Ann Shupe practices in Provo, UT and has the professional credentials of SUDC. The NPI Number for Alicia Ann Shupe is 1326343476 and holds a License No. 7753217-6006 (Utah).

The current practice location address for Alicia Ann Shupe is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639. You can also correspond with Alicia Ann Shupe through the mailing address at 750 N FREEDOM BLVD, PROVO, UT - 84601-1677 (mailing address contact number: 801-373-4760).

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
person
Provider Profile Details
NPI Number
1326343476
Provider Name
Alicia Ann Shupe
Credential
SUDC
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
01/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
State
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7753217-6006 (Utah)
Definition
Definition to come...
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