# HOLBROOK BEHAVIORAL COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063251064
- **Authorized official:** JACOB HOLBROOK (OWNER)
- **Authorized official phone:** (801) 719-7603

## Contact information

- **Practice address:** 5137 S 1500 W, RIVERDALE, UT 84405-3926
- **Practice address phone:** (801) 888-3542
- **Mailing address:** 5137 S 1500 W, RIVERDALE, UT 84405-3926
- **Mailing address phone:** (801) 888-3542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024