Eric Lafollette
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Moroni, UT
NPI 1487933255 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1487933255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 21260 N. 1450 E.
Moroni, UT 84646-0383 - Phone
- (435) 445-5206
- NPI assigned
- Aug 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
21260 N. 1450 E.
Moroni, UT 84646-0383
Mailing address
21260 N. 1450 E.
Moroni, UT 84646-0383
Other providers in Moroni, UT
- Matthew Elmo Jacobson
- Josh Verland Jensen
- Ursula Jensen
- Cassie Lynn Johnson
- Matthew Truman Johnson
- Blaine Larsen
- Olivia Larson
- Lighthouse Academy LLC
- Lighthouse Ranch
- Lighthouse Ranch LLC
All providers in Moroni, 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 Aug 11, 2011. 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.