Individual
ROGER WILLIAM VAN KOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
(801) 621-7024
Mailing address
2288 N 75 E, LAYTON, UT 84041-4057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5729895-6004
UT
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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