Individual
MRS. VICKIE DEONE JAUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASUDC
Contact information
Practice address
169 W 690 N, SANTAQUIN, UT 84655-7907
(801) 851-7663
Mailing address
169 W 690 N, SANTAQUIN, UT 84655-7907
(801) 851-7663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
354989-6006
UT
Other
Enumeration date
12/06/2010
Last updated
04/25/2013
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