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Kyle Patterson Mammen
Professional Counselor in Springville, Utah
NPI 1285221317

Kyle Patterson Mammen is a Professional Counselor based in Springville, UT and is specialized in Professional. Kyle Patterson Mammen practices in Springville, UT. The NPI Number for Kyle Patterson Mammen is 1285221317 and holds a License No. 8720265-6004 (Utah).

The current practice location address for Kyle Patterson Mammen is 372 N 650 W, Springville, UT and can be reached out via phone at 801-499-0520. You can also correspond with Kyle Patterson Mammen through the mailing address at 372 N 650 W, SPRINGVILLE, UT - 84663-5620 (mailing address contact number: 801-499-0520).

Location: 372 N 650 W, Springville, UT, 84663-5620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285221317
Provider Name
Kyle Patterson Mammen
Credential
Provider Entity Type
Individual
Gender
Male
Address
372 N 650 W, Springville, UT, 84663-5620
Phone Number
801-499-0520
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
372 N 650 W
City
Springville
State
Utah
Zip
84663-5620
Phone Number
801-499-0520
Fax Number
person
Provider Business Mailing Address Details
Address
372 N 650 W
City
Springville
State
Utah
Zip
84663-5620
Phone Number
801-499-0520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
8720265-6004 (Utah)
Definition
Definition to come...
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