Individual
MR. FRANCISCO XAVIER AMPUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LA-SUDC; LCSW
Contact information
Practice address
277 E 950 S, OREM, UT 84058-5004
(801) 691-0880
Mailing address
1366 SO. SLATE CANYON DR., PROVO, UT 84606
(801) 691-0880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4953588-6006
UT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/31/2011
Last updated
11/21/2023
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