Individual
MR. THOMAS REUBEN BORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
1165 W INDIAN HILLS DR UNIT 241, ST GEORGE, UT 84770-6832
(435) 688-2428
Mailing address
PO BOX 262, GUNNISON, UT 84634-0262
(435) 851-3842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8069547-6009
UT
Other
Enumeration date
12/03/2008
Last updated
12/12/2013
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