Individual
BRADLEY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 322-3397
Mailing address
340 E 100 S, SALT LAKE CITY, UT 84111-1702
(801) 322-3397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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