Individual
KACIE PECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SLC, UT 84111-1727
(801) 322-4257
Mailing address
1138 ELGIN AVE, SALT LAKE CITY, UT 84106-2524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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