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Individual

KATHY REKOUTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1397 W 8660 S, WEST JORDAN, UT 84088-9115
(801) 349-8806
Mailing address
1397 W 8660 S, WEST JORDAN, UT 84088-9115
(801) 349-8806

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
346123-6008
UT

Other

Enumeration date
05/07/2019
Last updated
05/07/2019
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