ELAINE MCKIBBIN

SALT LAKE CITY, UT
NPI1255084067
Other NameELAINE LAINE MCKIBBIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-02-01
Last Update Date2022-02-01
Business Address
ELAINE MCKIBBIN
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
Mailing Address
ELAINE MCKIBBIN
380 S 400 E APT 427
SALT LAKE CITY, UT 84111-2933
Phone number: 435-901-3921