Individual provider · Type 1 NPI

Bobby Joe Main Jr.

Counselor · Tooele, UT

NPI number 1376841106 Active

Practice location

100 S 1000 W
Tooele, UT 84074-4010

Call (435) 843-3554 Map

Fax (435) 843-3555

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376841106

Bobby Joe Main Jr.'s National Provider Identifier is 1376841106, issued on Mar 2, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tooele, UT. The record was last updated on Mar 2, 2011.