Individual
REBECCA PANKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E 4500 S, SALT LAKE CITY, UT 84107-2936
(801) 326-4385
Mailing address
650 PARKVIEW DR, PARK CITY, UT 84098-5207
(435) 659-8903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13443038-3502
UT
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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