Individual
MR. BROCK YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(801) 269-7512
Mailing address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(801) 269-7512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
137956-6004
UT
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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