Roger William Van Komen, LPC

NPI #1073694592 in Ogden, Utah

Provider Information

NPI Number: 1073694592
Entity Type: Individual
Name: Roger William Van Komen, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1525 LINCOLN AVE
City: Ogden
State: Utah
ZIP Code: 84404-5638
Phone: (801) 621-6510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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