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Marquita Jessica Chacon

Counselor in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1851639660
StatusActive
Last updated in NPPESJan 29, 2013

Details

NPI
1851639660
Entity type
Individual (NPI-1)
Name
Marquita Jessica Chacon
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2013
Last updated
Jan 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Phone 801-263-7100

Mailing address

5965 S 900 E
Salt Lake City, UT 84121-1720

Phone 801-263-7100

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