Brook Ridge LPC

NPI 1265733596 - Counselor - 101YP2500X

NPI Details
NPI 1265733596
Gender Female
Enumeration Date 11/03/2010
Last Updated 12/09/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
450 S 900 E
SUITE 300
SALT LAKE CITY UT, 84102-2981, US
Phone (801) 532-1850
Fax (801) 532-3608
Business Location
450 S 900 E
SUITE 300
SALT LAKE CITY UT, 84102-2981, US
Phone (801) 532-1850
Fax (801) 532-3608
Toxanomy
Taxonomy Code 101YP2500X
License State Utah
License Number 7359103-6009
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According to our database, Brook Ridge LPC NPI is 1265733596, taxonomy code is 101YP2500X and license number is 7359103-6009, license state is located at Utah. Brook Ridge LPC physically located at 450 S 900 E, Salt Lake City UT, 84102-2981. NPI Number Brook Ridge LPC has the Individual type.

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1265733596 NPI number is provided on an as is basis without warranty of any kind. 1265733596 is maintained by the National Plan & Provider Enumeration System. The contents of Brook Ridge LPC are for informational purposes only.