Mitchel Vanwagoner

NPI 1861056343 · on the registry since 2019

Practice

Address: 12608 S 125 W Ste E
Draper, UT 84020
Phone: (801) 679-6669
Organisation at this address: Treatment Network Llc
Deer Hollow Outpatient Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Also registered as: Case Manager/Care Coordinator
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah