Individual
BROOKE BARLOW LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 S MAIN ST STE 104, BOUNTIFUL, UT 84010-6249
(801) 683-9340
Mailing address
455 W 2025 N, CENTERVILLE, UT 84014-2602
(801) 635-6778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12884914-3501
UT
Other
Enumeration date
10/04/2021
Last updated
12/03/2024
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