Jared Sanford
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT
NPI 1407150758 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1407150758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4460 S Highland Dr
Salt Lake City, UT 84124-3543 - Phone
- (888) 949-4864
- NPI assigned
- Dec 30, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valleyfit Clinic LLC | Current | Accepting new patients | |
| Valleylab | Current | Accepting new patients | |
| Valleyrx | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-5427
Phone (888) 949-4864
Other providers in Salt Lake City, UT
- Debra Lynn Sandt
- Jenifer L Sandvig
- Suzanne Sandwick
- Megan Sandy
- Grant William Sanford
- Mary Eve Sanford
- Megan Sanford
- Alexandra J Santa Maria
- Cristina Mesina Santiago
- Edgar Allan Santiago
All providers in Salt Lake City, UT · Addiction (Substance Use Disorder) Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.