Individual
ELIZABETH BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6771 S 900 E, MIDVALE, UT 84047-1436
(385) 313-1009
Mailing address
6771 S 900 E, MIDVALE, UT 84047-1436
(801) 209-7232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
142248686006
UT
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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