Individual
MR. CHET DAVID BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3670 QUINCY AVE STE 101, OGDEN, UT 84403-1906
(801) 690-3147
Mailing address
3670 QUINCY AVE STE 101, OGDEN, UT 84403-1906
(801) 690-3147
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5397632-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75702
PEHP
UT
Enumeration date
09/14/2006
Last updated
11/07/2019
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