Individual
MR. DANIEL BARRATT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
3625 HARRISON BLVD, OGDEN, UT 84403-2061
(801) 458-7159
Mailing address
3793 N PATIOSPRINGS DR, EDEN, UT 84310-9741
(801) 458-7159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6895880-6004
UT
101YP2500X
Professional Counselor
6895880-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6895880-6004
DOPL
UT
Enumeration date
07/26/2017
Last updated
05/28/2019
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