Individual
SYDNEY BANAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASUDC
Contact information
Practice address
1223 S 620 W, OREM, UT 84058-3324
(314) 852-1739
Mailing address
784 S RIVER RIDGE LN, SPANISH FORK, UT 84660-4712
(314) 852-1739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13363821-6018
UT
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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