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Amanda Liesta Masellis, CADC-I, SUDC

Counselor, Addiction (Substance Use Disorder) in Murray, UT. Individual provider (NPI-1).

NPI number1851742001
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1851742001
Entity type
Individual (NPI-1)
Name
Ms. Amanda Liesta Masellis
Credential
CADC-I, SUDC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2016
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)11822780-6006UTYes
101YA0400X Counselor, Addiction (Substance Use Disorder)Ci10940218CA

Practice location

164 E 5900 S Ste 101
Murray, UT 84107-7256

Phone 801-261-5790 · Fax 801-261-5794

Mailing address

164 E 5900 S Ste 101
Murray, UT 84107-7256

Phone 801-261-5790 · Fax 801-261-5794

Other practice locations

2060 Campus Dr
Yreka, CA 96097-9538

Phone 530-841-4100

310 Harris Ave Ste A
Sacramento, CA 95838

Phone 916-649-6793 · Fax 916-929-7411

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Other Addiction (Substance Use Disorder) Counselor providers in Murray, UT

All 22 Addiction (Substance Use Disorder) Counselor providers in Murray · All 3,867 providers in Murray

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