Individual
MS. VIRGINIA SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
865 E 4800 S, SUITE 222, SALT LAKE CITY, UT 84107-5043
(801) 656-8030
Mailing address
7882 SERENERA WAY APT 1, WEST JORDAN, UT 84081-5781
(801) 879-8925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3212736009
UT
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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