Lopez, Jacob Jesse Angle

Lopez, Jacob Jesse Angle is an sole proprietor health care provider with primary practice located at 3280 W 3500 S Ste E , West Valley City UT 84119-2668. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lopez, Jacob Jesse Angle can be contacted via phone (801) 209-6997.

Contact Information

Primary practice address
3280 W 3500 S Ste E West Valley City UT 84119-2668
Phone: (801) 209-6997
Fax: (801) 904-2089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811555436
LBN Legal business name Lopez, Jacob Jesse Angle
Credentials M.A, CMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2019
Last updated May 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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