Individual provider · Type 1 NPI

Jeremy Thornock

Mental Health Counselor · Brigham City, UT

NPI number 1255632741 Active

Practice location

663 W Hospital Rd
Brigham City, UT 84302-3021

Call (435) 734-9449 Map

Mailing address

130 E 400 N Apt A
Brigham City, UT 84302-1856

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255632741

Jeremy Thornock's National Provider Identifier is 1255632741, issued on Nov 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brigham City, UT. The record was last updated on Nov 15, 2010.