Holbrook Behavioral Counseling Llc | |
5137 S 1500 W Riverdale UT 84405-3926 | |
(801) 888-3542 | |
Not Available |
Full Name | Holbrook Behavioral Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 5137 S 1500 W, Riverdale, Utah |
Authorized Official Name and Position | Jacob Holbrook (OWNER) |
Authorized Official Contact | 8017197603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Holbrook Behavioral Counseling Llc 5137 S 1500 W Riverdale UT 84405-3926 Ph: (801) 888-3542 | Holbrook Behavioral Counseling Llc 5137 S 1500 W Riverdale UT 84405-3926 Ph: (801) 888-3542 |
NPI Number | 1063251064 |
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Provider Enumeration Date | 05/21/2024 |
Last Update Date | 05/21/2024 |
Certification Date | 05/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063251064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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