Individual
MADISON WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11703 S HARVEST MOON CT, SOUTH JORDAN, UT 84009-8006
(801) 427-3803
Mailing address
11703 S HARVEST MOON CT, SOUTH JORDAN, UT 84009-8006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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