Individual provider · Type 1 NPI
Brandon J. Wilde, CMHC
Mental Health Counselor · Provo, UT
NPI number
1710140447
Active
Practice location
122 E 1700 S Bldg 3
Provo, UT 84606-5644
Mailing address
7897 N Broken Arrow Ln
Eagle Mountain, UT 84005-7203
Other practice locations
- 4460 Central Way, Suite 2, Chubbuck, ID 83202 · (208) 237-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 9471002-6004 (UT) |
| Mental Health Counselor | 101YM0800X | LPC3887 (ID) |
| Mental Health Counselor | 101YM0800X | LPC-17502 (AZ) |
| Professional Counselor | 101YP2500X | CP3313-R (NV) |
| Mental Health Counselor Primary | 101YM0800X | 9471022-6044 (UT) |
Mental Health Counselor: Definition to come...
9 other providers at this address
- Rocky Mountain University of Health Professions FoundationPhysical Therapist Provo, UT NPI 1053174417
- Adam L. Hickenbotham, ODOptometrist Provo, UT NPI 1063462778
- Angelica A. Echiverri, ODOptometrist Provo, UT NPI 1356032205
- Kasey ButlerSpeech-Language Pathologist Provo, UT NPI 1285476093
- Kathleen Dao GarlickStudent in an Organized Health Care Education/Training Program Provo, UT NPI 1063145548
- Naomi RomanoCase Manager/Care Coordinator Provo, UT NPI 1730972225
- Natalie Mae StappPhysician Assistant Provo, UT NPI 1720725930
- Victoria Boggs, PAPhysician Assistant Provo, UT NPI 1982342788
- William Reid Cluff, ODCorneal and Contact Management Optometrist Provo, UT NPI 1922536085
Other mental health counselor providers in Provo
- David Skiles, CMHCMental Health Counselor Provo, UT NPI 1003387242
- Tamara S. HillMental Health Counselor Provo, UT NPI 1013425594
- Allison HansenMental Health Counselor Provo, UT NPI 1023326956
- Kathryn OwenMental Health Counselor Provo, UT NPI 1023755980
- Devin Monahan, CMHCMental Health Counselor Provo, UT NPI 1043559594
- Tawni Jacobson, ACMHCMental Health Counselor Provo, UT NPI 1043886757
- Summer HibbardMental Health Counselor Provo, UT NPI 1043938533
- Nathan Alexis Spencer, MSPECEDMental Health Counselor Provo, UT NPI 1053086207
About NPI 1710140447
Brandon J. Wilde, CMHC's National Provider Identifier is 1710140447, issued on Jul 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Sep 10, 2024.