Individual
CALEB R KOBILANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
828 W COCONINO AVE, FLAGSTAFF, AZ 86001-5403
(701) 747-0216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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