Individual
WILL BRADON JOHN GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC, LPC
Contact information
Practice address
10434 S 1055 W STE 101, SOUTH JORDAN, UT 84095-1521
(801) 355-2846
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12307961-6004
UT
101Y00000X
Counselor
C8327
OR
Other
Enumeration date
08/18/2020
Last updated
12/05/2024
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