Individual
MICHAEL BRYAN ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, ABS
Contact information
Practice address
6610 S 2200 E, UINTAH, UT 84405-9708
(801) 644-9626
(801) 210-5383
Mailing address
6610 S 2200 E, UINTAH, UT 84405-9708
(801) 644-9626
(801) 210-5383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8906663-3902
UT
102L00000X
Psychoanalyst
8906663-3902
UT
106H00000X
Marriage & Family Therapist
Primary
8906663-3902
UT
Other
Enumeration date
02/12/2016
Last updated
03/02/2024
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