Individual provider · Type 1 NPI

Roger William Van Komen, LPC

Professional Counselor · Ogden, UT

NPI number 1073694592 Active

Practice location

1525 Lincoln Ave
Ogden, UT 84404-5638

Fax (801) 621-7024

Mailing address

2288 N 75 E
Layton, UT 84041-4057

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5729895-6004 (UT)

Professional Counselor: Definition to come...

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About NPI 1073694592

Roger William Van Komen, LPC's National Provider Identifier is 1073694592, issued on Oct 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.