Individual
BRIANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1204 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-4611
(801) 604-2326
Mailing address
7845 S OAKLEDGE RD, COTTONWOOD HEIGHTS, UT 84121-5820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6892229-6009
UT
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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