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Immanuel Rodriguez
Professional Counselor in West Haven, Utah
NPI 1134542798

Immanuel Rodriguez is a Professional Counselor based in Washington Terrace, UT and is specialized in Professional. Immanuel Rodriguez practices in West Haven, UT. The NPI Number for Immanuel Rodriguez is 1134542798 and holds a License No. (Utah).

The current practice location address for Immanuel Rodriguez is 3742 W 4000 S, West Haven, UT and can be reached out via phone at 801-731-0426.

Location: 3742 W 4000 S, West Haven, UT, 84405-6062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134542798
Provider Name
Immanuel Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3742 W 4000 S, West Haven, UT, 84405-6062
Phone Number
801-731-0426
Fax Number
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3742 W 4000 S
City
West Haven
State
Utah
Zip
84401-9630
Phone Number
801-731-0426
Fax Number
person
Provider Business Mailing Address Details
Address
3742 W 4000 S
City
West Haven
State
Utah
Zip
84401-9630
Phone Number
801-731-0426
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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