Individual
VAUGHN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 N 100 W, ST GEORGE, UT 84770-2803
(801) 627-1788
Mailing address
139 N 100 W, ST GEORGE, UT 84770-2803
(801) 627-1788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
339436-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339436-3902
STATE OF UTAH
UT
Enumeration date
09/29/2014
Last updated
09/29/2014
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