Individual
MS. LAUREN GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
857 E 200 S, SLC, UT 84102-2317
(801) 487-3276
Mailing address
857 E 200 S, SLC, UT 84102-2317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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