Individual
JAIDA MELYNN HOUGHTALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
640 E 700 S STE 3, ST GEORGE, UT 84770-4006
(801) 673-1004
Mailing address
640 E 700 S STE 3, ST GEORGE, UT 84770-4006
(801) 673-1004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
139875243503
UT
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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