Individual
BRADLEY RAY HIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 428-3483
(801) 355-4607
Mailing address
642 HARMONY CT, SALT LAKE CITY, UT 84102-3446
(801) 428-3483
(801) 355-4607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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