Individual provider · Type 1 NPI
Brent Keeler Shuster, ACMHC
Mental Health Counselor · Salt Lake City, UT
NPI number
1417456401
Active
Practice location
3556 S 5600 W # 1-472
Salt Lake City, UT 84120-2815
Mailing address
111 E 5600 S Ste 304
Murray, UT 84107-8174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11226387-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1417456401
Brent Keeler Shuster, ACMHC's National Provider Identifier is 1417456401, issued on Feb 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 21, 2022.