Organization
HOLBROOK BEHAVIORAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HOLBROOK (OWNER)
(801) 719-7603
Entity
Organization
Contact information
Practice address
5137 S 1500 W, RIVERDALE, UT 84405-3926
(801) 888-3542
Mailing address
5137 S 1500 W, RIVERDALE, UT 84405-3926
(801) 888-3542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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