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Mr. Bobby Joe Main JR.
Counselor in Tooele, Utah
NPI 1376841106

Bobby Joe Main JR. is a Counselor based in Tooele, UT. Bobby Joe Main JR. practices in Tooele, UT. The NPI Number for Bobby Joe Main JR. is 1376841106 and holds a License No. (Utah).

The current practice location address for Bobby Joe Main JR. is 100 S 1000 W, Tooele, UT and can be reached out via phone at 435-843-3554 and via fax at 435-843-3555.

Location: 100 S 1000 W, Tooele, UT, 84074-4010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376841106
Provider Name
Bobby Joe Main JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 S 1000 W, Tooele, UT, 84074-4010
Phone Number
435-843-3554
Fax Number
435-843-3555
Provider Enumeration Date
03/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 S 1000 W
City
Tooele
State
Utah
Zip
84074-4010
Phone Number
435-843-3554
Fax Number
435-843-3555
person
Provider Business Mailing Address Details
Address
100 S 1000 W
City
Tooele
State
Utah
Zip
84074-4010
Phone Number
435-843-3554
Fax Number
435-843-3555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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