Individual provider · Type 1 NPI

Skyler John Chubak I

Mental Health Counselor · Salt Lake, UT

NPI number 1083997548 Active

Practice location

780 South Gaurdsmen Way
Salt Lake, UT 84107

Mailing address

1188 S West Temple
Salt Lake City, UT 84101-3120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083997548

Skyler John Chubak I's National Provider Identifier is 1083997548, issued on Sep 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake, UT. The record was last updated on Sep 21, 2011.