Individual
MR. BRAND BONSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 SANTA CLARA DRIVE, SANTA CLARA, UT 84765
(435) 674-9310
Mailing address
2711 SANTA CLARA DRIVE, SANTA CLARA, UT 84765
(435) 674-9310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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