Individual provider · Type 1 NPI

Garry Richard Holbrook Sr., LCSW

Mental Health Counselor · Panguitch, UT

NPI number 1013165802 Active

Practice location

609 North Main, #3
Panguitch, UT 84759

Fax (435) 676-8832

Mailing address

PO Box 63
Panguitch, UT 84759-0063

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013165802

Garry Richard Holbrook Sr., LCSW's National Provider Identifier is 1013165802, issued on Sep 4, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Panguitch, UT. The record was last updated on Jan 14, 2013.