MEDICARE: JASON DAUSSES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	14184073-6009	UT

General Provider Information

NPI Number	:	1144173154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON DAUSSES

Provider Business Mailing Address
First Line	:	9130 S STATE ST STE 210
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2681
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9130 S STATE ST STE 210
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-2681
Country	:	US
Telephone Number	:	801-998-2116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ JASON DAUSSES ” Practice Location

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