Individual
LEVI J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
853 S CRESCENT ROW, MAPLETON, UT 84664-5503
(385) 482-5189
(801) 465-7762
Mailing address
853 S CRESCENT ROW, MAPLETON, UT 84664-5503
(385) 482-5189
(801) 465-7762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7658471-6005
UT
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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