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Jose Roman Pantoja
Counselor in Brigham City, Utah
NPI 1780954305

Jose Roman Pantoja is a Counselor based in Brigham City, UT. Jose Roman Pantoja practices in Brigham City, UT. The NPI Number for Jose Roman Pantoja is 1780954305 and holds a License No. (Utah).

The current practice location address for Jose Roman Pantoja is 58 S 950 W, Brigham City, UT and can be reached out via phone at 435-538-5061 and via fax at 435-538-5066.

Location: 58 S 950 W, Brigham City, UT, 84302-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780954305
Provider Name
Jose Roman Pantoja
Credential
Provider Entity Type
Individual
Gender
Male
Address
58 S 950 W, Brigham City, UT, 84302-4424
Phone Number
435-538-5061
Fax Number
435-538-5066
Provider Enumeration Date
01/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58 S 950 W
City
Brigham City
State
Utah
Zip
84302-4424
Phone Number
435-538-5061
Fax Number
435-538-5066
person
Provider Business Mailing Address Details
Address
58 S 950 W
City
Brigham City
State
Utah
Zip
84302-4424
Phone Number
435-538-5061
Fax Number
435-538-5066
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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