Individual
KALI BLAYRE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(801) 322-3222
Mailing address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(801) 322-3222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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