Individual
DR. JOHN CHARLES BRAILSFORD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
5677 W 10770 N, HIGHLAND, UT 84003-9088
(801) 756-4438
Mailing address
5677 W 10770 N, HIGHLAND, UT 84003-9088
(801) 756-4438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6256080-3902
UT
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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