Individual
RAFAEL CHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 E 3550 N, NORTH OGDEN, UT 84414-2710
(801) 644-6124
Mailing address
365 E 3550 N, NORTH OGDEN, UT 84414-2710
(801) 644-6124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9256697-6009
UT
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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