# JOCELYN HOLBROOK, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookline
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992152771
- **Authorized official:** MS. JOCELYN ELIZABETH HOLBROOK LCSW (OWNER)
- **Authorized official phone:** (801) 879-0252

## Contact information

- **Practice address:** 5796 S 900 E, STE 206, SALT LAKE CITY, UT 84121-1036
- **Practice address phone:** (801) 879-0252
- **Practice address fax:** (801) 983-5258
- **Mailing address:** PO BOX 57162, SALT LAKE CITY, UT 84157-0162
- **Mailing address phone:** (801) 879-0252
- **Mailing address fax:** (801) 983-5258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | 6010892-3501 | UT | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 05/20/2016
