Organization
FIREFLY ADDICTION & FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JEAN MEZA LMFT (CLINICAL DIRECTOR)
(801) 676-9160
Entity
Organization
Contact information
Practice address
1270 E 8600 S, SUITE 3, SANDY, UT 84094-1200
(801) 676-9160
Mailing address
1270 E 8600 S, SUITE 3, SANDY, UT 84094-1200
(801) 676-9160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
79799323902
UT
101YM0800X
Mental Health Counselor
79799323902
UT
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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