Individual
MR. BRADLEY KENT GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
7487 S 95 E, MIDVALE, UT 84047-2150
(801) 803-8517
Mailing address
PO BOX 183, BOUNTIFUL, UT 84011-0183
(801) 803-8517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
140019-6004
UT
Other
Enumeration date
04/23/2007
Last updated
02/05/2014
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