Individual
MR. BRIAN MARK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1251 FIREFLY DR, SPANISH FORK, UT 84660-5517
(801) 589-9211
Mailing address
1251 FIREFLY DR, SPANISH FORK, UT 84660-5517
(801) 589-9211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6606624-3501
UT
1041C0700X
Clinical Social Worker
Primary
6606624-3501
UT
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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