Individual
MS. KIMBERLY ANN RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
8307 FOX POINTE CT, WEST JORDAN, UT 84088-8368
(801) 897-7053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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