JACOB JESSE ANGLE LOPEZ

WEST VALLEY CITY, UT
NPI1811555436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-05-29
Last Update Date2019-05-29
Business Address
JACOB JESSE ANGLE LOPEZ M.A, CMHC
3280 W 3500 S STE E
WEST VALLEY CITY, UT 84119-2668
Phone number: 801-209-6997
Mailing Address
JACOB JESSE ANGLE LOPEZ M.A, CMHC
961 W GREENOAKS DR
MURRAY, UT 84123-4922
Phone number: 801-831-2268