Individual
JEFFRY KEITH UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2249 BRENTWOOD DR, ABILENE, TX 79605-5513
(325) 656-3722
Mailing address
2249 BRENTWOOD DR, ABILENE, TX 79605-5513
(325) 656-3722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15554
TX
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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