Individual
PROF. SKYLER JOHN CHUBAK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 SOUTH GAURDSMEN WAY, SALT LAKE, UT 84107
(801) 883-5325
Mailing address
1188 S WEST TEMPLE, SALT LAKE CITY, UT 84101-3120
(801) 413-9820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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