Provider Demographics
NPI:1215312178
Name:UMBRIACO, JONATHAN (CMHC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:UMBRIACO
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2469 E FORT UNION BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3417
Mailing Address - Country:US
Mailing Address - Phone:801-449-0379
Mailing Address - Fax:
Practice Address - Street 1:2469 E FORT UNION BLVD STE 206
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-3417
Practice Address - Country:US
Practice Address - Phone:801-449-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health