Individual
ROMAN LAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 N GRAND TOUR DR, EAGLE MOUNTAIN, UT 84045-4859
(385) 351-5473
Mailing address
PO BOX 174, CEDAR VALLEY, UT 84013-0174
(385) 351-5473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12310252-6004
UT
101YM0800X
Mental Health Counselor
C7878
OR
101YM0800X
Mental Health Counselor
CP5586-R
NV
101YM0800X
Mental Health Counselor
LCPC-10067
ID
101YM0800X
Mental Health Counselor
LH61492131
WA
Other
Enumeration date
06/12/2019
Last updated
05/28/2025
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