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1215641170
JONATHAN PATRICK RASBACH
PROVO, UT
NPI
1215641170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 12996865-6004)
Enumeration Date
2023-01-05
Last Update Date
2024-09-24
Business Address
JONATHAN PATRICK RASBACH CMHC
1108 N 1760 W
PROVO, UT 84604-7006
Phone number: 269-277-8840
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Mailing Address
JONATHAN PATRICK RASBACH CMHC
1108 N 1760 W
PROVO, UT 84604-7006
Phone number: 269-277-8840
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