person
Raegan Owen Velasquez
Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah
NPI 1538514989

Raegan Owen Velasquez is an Addiction (Substance Use Disorder) Counselor based in Salt Lake City, UT and is specialized in Addiction (Substance Use Disorder). Raegan Owen Velasquez practices in Salt Lake City, UT. The NPI Number for Raegan Owen Velasquez is 1538514989 and holds a License No. 101YA0400X (Utah).

The current practice location address for Raegan Owen Velasquez is 344 E 100 S, Salt Lake City, UT and can be reached out via phone at 801-573-3213.

Location: 344 E 100 S, Salt Lake City, UT, 84102-4237
person
Provider Profile Details
NPI Number
1538514989
Provider Name
Raegan Owen Velasquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
344 E 100 S, Salt Lake City, UT, 84102-4237
Phone Number
801-573-3213
Fax Number
Provider Enumeration Date
05/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
344 E 100 S
City
State
Zip
84111-1700
Phone Number
801-573-3213
Fax Number
person
Provider Business Mailing Address Details
Address
344 E 100 S
City
State
Zip
84111-1700
Phone Number
801-573-3213
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X (Utah)
Definition
Definition to come...
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