Individual provider · Type 1 NPI

Kevin Jason Koa Gonzalez Boas, PhD

Counselor · Salt Lake City, UT

NPI number 1700031408 Active

Practice location

1488 E 3045 S
Salt Lake City, UT 84106-3414

Call (385) 228-0556 Map

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 1700031408

Kevin Jason Koa Gonzalez Boas, PhD's National Provider Identifier is 1700031408, issued on Nov 21, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 17, 2017.