Individual
MR. JEROME ANTHONY PIPER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
3990 HOWICK ST UNIT 325, SALT LAKE CITY, UT 84107-1485
(801) 604-7476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
01/17/2012
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