Grace Brodacz
Counselor in Harrisville, UT. Individual provider (NPI-1).
NPI number1639645864
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1639645864
- Entity type
- Individual (NPI-1)
- Name
- Grace Brodacz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2240 N Hwy 89 Ste CHarrisville, UT 84404-2824
Phone 801-393-6232 · Fax 801-393-4081
Mailing address
2240 N Hwy 89 Ste CHarrisville, UT 84404-2824
Phone 801-393-6232 · Fax 801-393-4081
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 63 Counselor providers in Harrisville · All 140 providers in Harrisville
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