| Brookhaven Counseling | |
|
2578 W 600 N Suite 102 Lindon UT 84042-2076 | |
| (801) 919-4854 | |
| Not Available |
| Full Name | Brookhaven Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2578 W 600 N Suite 102, Lindon, Utah |
| Authorized Official Name and Position | Brooke Wily Ibanez (OWNER/THERAPIST) |
| Authorized Official Contact | 8019194854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Counseling 2578 W 600 N Suite 102 Lindon UT 84042-2076 Ph: (801) 919-4854 | Brookhaven Counseling 2578 W 600 N Suite 102 Lindon UT 84042-2076 Ph: (801) 919-4854 |
| NPI Number | 1912599671 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912599671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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