person
Jacob Jesse Angle Lopez, MA,CMHC
Mental Health Counselor in West Valley City, Utah
NPI 1811555436

Jacob Jesse Angle Lopez is a Mental Health Counselor based in Murray, UT and is specialized in Mental Health. Jacob Jesse Angle Lopez practices in West Valley City, UT and has the professional credentials of MA,CMHC. The NPI Number for Jacob Jesse Angle Lopez is 1811555436 and holds a License No. (Utah).

The current practice location address for Jacob Jesse Angle Lopez is 3280 W 3500 S Ste E, West Valley City, UT and can be reached out via phone at 801-209-6997 and via fax at 801-904-2089.

Location: 3280 W 3500 S Ste E, West Valley City, UT, 84123-4922
person
Provider Profile Details
NPI Number
1811555436
Provider Name
Jacob Jesse Angle Lopez
Credential
MA,CMHC
Provider Entity Type
Individual
Gender
Male
Address
3280 W 3500 S Ste E, West Valley City, UT, 84123-4922
Phone Number
801-209-6997
Fax Number
801-904-2089
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3280 W 3500 S Ste E
City
State
Zip
84119-2668
Phone Number
801-209-6997
Fax Number
801-904-2089
person
Provider Business Mailing Address Details
Address
3280 W 3500 S Ste E
City
State
Zip
84119-2668
Phone Number
801-209-6997
Fax Number
801-904-2089
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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