SearchUtahAddiction (Substance Use Disorder) Counselor

Derek Daley

NPI 1114307808 · on the registry since 2015

Practice

Address
56 South Main St
Loa, UT 84747
Phone
(801) 358-2974
Organisation at this address
Legacy Outdoor Adventures Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah