Individual
ZACHARY RYAN VINCENZETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
3164 MARK AVE, WEST VALLEY CITY, UT 84119-2712
(801) 259-3977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2011
Last updated
05/01/2011
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