Brook Ridge, LPC
Counselor, Professional in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1265733596
StatusActive
Last updated in NPPESDec 9, 2011
Details
- NPI
- 1265733596
- Entity type
- Individual (NPI-1)
- Name
- Brook Ridge
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2010
- Last updated
- Dec 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7359103-6009 | UT | Yes |
Practice location
450 S 900 ESuite 300
Salt Lake City, UT 84102-2981
Phone 801-532-1850 · Fax 801-532-3608
Mailing address
450 S 900 ESuite 300
Salt Lake City, UT 84102-2981
Phone 801-532-1850 · Fax 801-532-3608
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