Individual
ATU TONGA MAILE FALEVAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1601 E 13200 S, DRAPER, UT 84020-9078
(801) 465-5111
Mailing address
984 S 930 W, PAYSON, UT 84651-3126
(801) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
122012363502
UT
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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