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Individual

BRIAN PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
377 E RIVERSIDE DR STE B, ST GEORGE, UT 84790-4749
(435) 229-2557
Mailing address
1643 S AGATE CIR, ST GEORGE, UT 84790-6109
(435) 229-2557

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10768634-6009
UT
101YS0200X
School Counselor
92449
UT

Other

Enumeration date
05/04/2018
Last updated
05/04/2018
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