Individual
ANDREA AMELIA BORREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADE
Contact information
Practice address
344 E 100 S, SLC, UT 84111
(801) 322-3397
Mailing address
344 E 100 S, SLC, UT 84111-1700
(801) 322-3397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7879106-6006
UT
Other
Enumeration date
05/02/2007
Last updated
08/27/2019
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