Vaka'Uta, Edward Douglas

Vaka'Uta, Edward Douglas is an sole proprietor health care provider with primary practice located at 9067 S 1300 W Suite 204, West Jordan UT 84088-5581. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Vaka'Uta, Edward Douglas can be contacted via phone (801) 253-4877.

Contact Information

Primary practice address
9067 S 1300 W Suite 204 West Jordan UT 84088-5581
Phone: (801) 253-4877
Fax: (801) 748-2192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5138304-3501 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5138304-3501 Utah

Profile Details

NPI number 1578780441
LBN Legal business name Vaka'Uta, Edward Douglas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Mar 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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