Individual
LEXI PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 S REDWOOD RD, SALT LAKE CITY, UT 84123-5261
(801) 293-9999
Mailing address
5983 S REDWOOD RD, SALT LAKE CITY, UT 84123-5261
(801) 293-9999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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