Individual
BRIAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
138 E 12300 S STE C188, DRAPER, UT 84020-7976
(801) 554-6372
Mailing address
138 E 12300 S STE C188, DRAPER, UT 84020-7976
(801) 554-6372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
54997978-6009
UT
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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