| Jonatan Lopez Mancilla, | |
|
390 W 100 N, Ephraim, UT 84627-2131 | |
| (435) 283-4065 | |
| (435) 283-8401 |
| Full Name | Jonatan Lopez Mancilla |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 390 W 100 N, Ephraim, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053973685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonatan Lopez Mancilla, 152 N 400 W, Ephraim, UT 84627-5549 Ph: (435) 283-8400 | Jonatan Lopez Mancilla, 390 W 100 N, Ephraim, UT 84627-2131 Ph: (435) 283-4065 |
Mr. Scott Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 N 161 W, Ephraim, UT 84627 Phone: 435-283-9934 | |
Crystal Alvarez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 N 400 W, Ephraim, UT 84627 Phone: 435-283-8400 Fax: 435-283-8401 | |
Jolene Blackburn, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-5387 | |
Susan Diane Nielson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-5387 | |
Nicole Lavonne Malstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 N 180 W, Ephraim, UT 84627 Phone: 435-283-9932 Fax: 435-283-4920 | |
Francis Russell Beck Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 338 S 300 E, Ephraim, UT 84627 Phone: 435-283-4305 |