Mitchel Jay Vanwagoner
Mitchel Jay Vanwagoner is a Case Manager/Care Coordinator in Draper, Utah. Licensed in Utah. Registered with an NPI since 2019.
- Licensed in
- UT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
12608 S 125 W Ste EDraper, UT 84020-8437
Phone: (801) 679-6669
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 11780474-3502 (UT) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1861056343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 30, 2019 |
| Last updated in NPPES | March 15, 2023 |
| Certification date | March 15, 2023 |
| Mailing address | 12608 S 125 W Ste E, Draper, UT 84020-8437 |
Other providers in Draper
-
Justin R Olson, CASEMANAGER
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (801) 613-2530
-
Cathleen Price
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (801) 407-0047
-
Tiffany C Provost
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (801) 987-0788
-
Sterling Steed
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (802) 382-8890
-
Trevor Villalobos, BSCRIMINALJUSTICE
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (801) 407-0047
-
Justin Scott Wartena
13691 S Brown Farm Ln, Draper, UT 84020-7809 · (801) 755-9028