Individual
SIMON KUCZINNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14551 SENTINEL RIDGE BLVD, HERRIMAN, UT 84096
(801) 957-6625
Mailing address
3559 S MONTCLAIR ST, MAGNA, UT 84044-2474
(385) 216-4046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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