Doctor Name: | MS. LAUREN GRECO |
NPI Number: | 1104294156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | 857 E 200 S Slc, UT - 841022317 |
Business Phone Number: | 8014873276 |
Business Fax Number: | |
Mailing Address: | 857 E 200 S, SLC |
State: | UT |
Postal Code: | 841022317 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |