Individual
MS. JESSE KATHERINE VAZZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
VA SALT LAKE CITY HEALTH CARE SYSTEM, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148
(801) 582-1565
Mailing address
VA SALT LAKE CITY HEALTH CARE SYSTEM, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0046104
VT
1041C0700X
Clinical Social Worker
14228253-3501
UT
Other
Enumeration date
12/01/2006
Last updated
12/05/2025
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