Jonatan Lopez Mancilla

NPI #1053973685 in Ephraim, Utah

Provider Information

NPI Number: 1053973685
Entity Type: Individual
Name: Jonatan Lopez Mancilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 3, 2019
Last Updated: Oct 17, 2025

Practice Location

Address: 390 W 100 N
City: Ephraim
State: Utah
ZIP Code: 84627-2131
Phone: (435) 283-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X	Primary

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