Individual
BRANDY LYNN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
560 S STATE ST STE G1, OREM, UT 84058-6397
(801) 802-8608
(801) 221-1042
Mailing address
8196 N CEDAR SPRINGS RD APT Q7, EAGLE MOUNTAIN, UT 84005-2630
(801) 400-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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