NPI 1013205152

Mark Wiltbank

Practitioner Counselor Mona, UT

Practice location

Address: 525 W. 200 N., Mona, UT 84648
Phone: (435) 623-2825
Fax: (435) 623-2827
Mailing address: 619 N 500 W, Provo, UT 84601-1547

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Utah →

Registry record

NPI: 1013205152
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2011
Record last updated: 11 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.