Individual
BRETT MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
(801) 344-4225
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
(801) 344-4225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6377316-6004
UT
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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