Individual
MRS. TINA N BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-I
Contact information
Practice address
1173 S 250 W STE 208, ST GEORGE, UT 84770-6747
(435) 688-1111
(435) 688-8488
Mailing address
2608 W 175 N, HURRICANE, UT 84737-4431
(801) 404-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13438849-3902
DOPL
UT
Enumeration date
04/20/2022
Last updated
05/21/2025
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