Organization
GIBSON VENTURES, LLC
Active
Other names
Mountain Brook Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD GIBSON (OWNER/MANAGER)
(801) 735-7555
Entity
Organization
Contact information
Practice address
1218 W SOUTH JORDAN PKWY STE A2, SOUTH JORDAN, UT 84095-5946
(385) 645-8889
Mailing address
15047 S BUGLE RIDGE DR, HERRIMAN, UT 84096-5722
(801) 735-7555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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