Individual
MS. HOLLY H TANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.U.D.C.
Contact information
Practice address
5770 S. 1500 W. BLD A, IHC WASATCH CANYONS CAMPUS, SALT LAKE CITY, UT 84119
(801) 313-7859
Mailing address
3516 SAN CARLOS DR., WEST VALLEY, UT 84119
(801) 840-0547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
336344-6006
UT
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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