Eddi Bailey

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Moroni, UT

NPI 1689975823 · NPPES record last updated Nov 4, 2010

Key facts

NPI
1689975823
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) 851-6821
NPI assigned
Nov 4, 2010
Sex
Female
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)CodeLicenseStatePrimary
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
Phone (435) 851-6821

Other providers in Moroni, UT

All providers in Moroni, UT · Addiction (Substance Use Disorder) Counselor in Utah

Sources for this page

Verify at the official NPI Registry.