Provider Demographics
NPI:1346883915
Name:VUIKADAVU, JONE LOKAHI DTL (CSWI)
Entity Type:Individual
Prefix:
First Name:JONE
Middle Name:LOKAHI DTL
Last Name:VUIKADAVU
Suffix:
Gender:M
Credentials:CSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-5504
Mailing Address - Country:US
Mailing Address - Phone:801-932-2534
Mailing Address - Fax:
Practice Address - Street 1:4501 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-5504
Practice Address - Country:US
Practice Address - Phone:801-932-2534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11364596-3506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health