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Ms. Diane M Threedy
Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah
NPI 1578864096

Diane M Threedy is an Addiction (Substance Use Disorder) Counselor based in Salt Lake City, UT and is specialized in Addiction (Substance Use Disorder). Diane M Threedy practices in Salt Lake City, UT. The NPI Number for Diane M Threedy is 1578864096 and holds a License No. 943008720 (Utah).

The current practice location address for Diane M Threedy is 660 S 200 E, Salt Lake City, UT and can be reached out via phone at 801-355-1528 and via fax at 801-364-4085.

Location: 660 S 200 E, Salt Lake City, UT, 84106-2931
person
Provider Profile Details
NPI Number
1578864096
Provider Name
Diane M Threedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
660 S 200 E, Salt Lake City, UT, 84106-2931
Phone Number
801-355-1528
Fax Number
801-364-4085
Provider Enumeration Date
11/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
943008720 05 UT
institution
Provider Business Practice Location Address Details
Address
660 S 200 E
City
State
Zip
84111-3835
Phone Number
801-355-1528
Fax Number
801-364-4085
person
Provider Business Mailing Address Details
Address
660 S 200 E
City
State
Zip
84111-3835
Phone Number
801-355-1528
Fax Number
801-364-4085
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
943008720 (Utah)
Definition
Definition to come...
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