IndividualActive
Derek Daley
NPI 1114307808 · Addiction (Substance Use Disorder) Counselor · Loa, UT
Provider details
- NPI number
- 1114307808
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 8870520-6005 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
56 South Main St
Loa, UT 84747
Phone: (801) 358-2974
Approximate (ZIP-level) locationGet directions
Mailing address
56 South Main
Loa, UT 84747
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.