Individual
ADRIAN BRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 355-2846
Mailing address
260 E HAMPTON AVE, SALT LAKE CITY, UT 84111-4611
(703) 254-3616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/06/2023
Last updated
05/07/2024
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