JONATAN LOPEZ MANCILLA

Social Worker

Active Individual
NPI: 1053973685

Practice Address

390 W 100 N
Ephraim, UT 84627

Phone: (435) 283-4065

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1053973685 is the National Provider Identifier for JONATAN LOPEZ MANCILLA, a Social Worker provider located in Ephraim, UT. This NPI was enumerated on July 3, 2019.
JONATAN LOPEZ MANCILLA practices at 390 W 100 N, Ephraim, UT 84627.

Quick Facts

NPI
1053973685
Type
Individual
Enumerated
Jul 3, 2019
Last Updated
Oct 17, 2025

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