Individual provider · Type 1 NPI

Brook Ridge, LPC

Professional Counselor · Salt Lake City, UT

NPI number 1265733596 Active

Practice location

450 S 900 E, Suite 300
Salt Lake City, UT 84102-2981

Call (801) 532-1850 Map

Fax (801) 532-3608

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7359103-6009 (UT)

Professional Counselor: Definition to come...

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About NPI 1265733596

Brook Ridge, LPC's National Provider Identifier is 1265733596, issued on Nov 3, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 9, 2011.