Most Relevant Information
Provider Data
| NPI Number: | 1003272048 |
| Provider Name: | IWALANI DIPRIMA ACMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 5499509-6009 |
Most Important Dates
| Enumeration Date: | 01/06/2016 |
| Last Updated: | 01/06/2016 |
Provider Practice Location
3149 N HWY 89
200
PLEASANT VIEW
UT
844041201
Practice Location Phone/Fax
| Phone: | 8017826600 |
| Fax: | 8017826551 |
Provider Mailing Location
3149 N HWY 89
200
PLEASANT VIEW
UT
844041201
Provider Mailing Phone/Fax
| Phone: | 8017826600 |
| Fax: | 8017826551 |