person
Jonatan Lopez Mancilla
Mental Health Counselor in Ephraim, Utah
NPI 1053973685

Jonatan Lopez Mancilla is a Mental Health Counselor based in Ephraim, UT and is specialized in Mental Health. Jonatan Lopez Mancilla practices in Ephraim, UT. The NPI Number for Jonatan Lopez Mancilla is 1053973685 and holds a License No. (Utah).

The current practice location address for Jonatan Lopez Mancilla is 390 W 100 N, Ephraim, UT and can be reached out via phone at 435-283-4065 and via fax at 435-283-8401.

Location: 390 W 100 N, Ephraim, UT, 84627-5549
person
Provider Profile Details
NPI Number
1053973685
Provider Name
Jonatan Lopez Mancilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
390 W 100 N, Ephraim, UT, 84627-5549
Phone Number
435-283-4065
Fax Number
435-283-8401
Provider Enumeration Date
07/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
390 W 100 N
City
State
Zip
84627-2131
Phone Number
435-283-4065
Fax Number
435-283-8401
person
Provider Business Mailing Address Details
Address
390 W 100 N
City
State
Zip
84627-2131
Phone Number
435-283-4065
Fax Number
435-283-8401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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