NPI
Amanda Liesta Masellis
NPI 1851742001
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- CADC-I, SUDC
- Type
- Individual
- Enumeration date
- 2016-06-29
- Last updated
- 2020-11-06
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Specialties
Licenses
- License CA
- Ci10940218
- License UT
- 11822780-6006
Location
- Practice location
- 164 E 5900 S Ste 101
- City
- Murray UT
- Postal code
- 84107-7256
- Phone
- (801) 261-5790
- Fax
- (801) 261-5794
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Addiction Counselors in Murray, UT. 21 with this primary taxonomy in the public file.
Other NPIs in Murray, UT. 3,835 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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