Individual
BRAD TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
384 E 60 S, AMERICAN FORK, UT 84003-3835
(801) 300-8106
Mailing address
384 E 60 S, AMERICAN FORK, UT 84003-3835
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5315396-3902
UT
Other
Enumeration date
01/24/2019
Last updated
07/27/2023
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