Bryan Shores, CMHC
Counselor, Mental Health in Ogden, UT. Individual provider (NPI-1).
NPI number1831963271
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1831963271
- Entity type
- Individual (NPI-1)
- Name
- Bryan Shores
- Credential
- CMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 117171836004 | UT | Yes |
Practice location
1430 Wild Rose WayOgden, UT 84404-6172
Phone 703-599-1886
Mailing address
1430 Wild Rose WayOgden, UT 84404-6172
Phone 703-599-1886
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