Individual
MICHELLE CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC
Contact information
Practice address
7625 S 3200 W, WEST JORDAN, UT 84084-2800
(801) 915-0359
Mailing address
7625 S 3200 W, WEST JORDAN, UT 84084-2800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11326847-6006
UT
Other
Enumeration date
05/01/2015
Last updated
02/07/2023
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