Individual
SAMMY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 ANGIE CIR, MIDVALE, UT 84047-1354
(970) 629-5304
Mailing address
624 ANGIE CIR, MIDVALE, UT 84047-1354
(970) 629-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6568731-6004
UT
101YP2500X
Professional Counselor
6568731-6004
UT
Other
Enumeration date
06/02/2011
Last updated
06/26/2024
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