Individual
MR. JEREMY THORNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
663 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3021
(435) 734-9449
Mailing address
130 E 400 N APT A, BRIGHAM CITY, UT 84302-1856
(435) 237-7895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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