Individual
KELLY R SILVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 359-8510
Mailing address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 359-8510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
271074-6006
UT
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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