Individual
BRANDON JAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2180 E 4500 S, HOLLADAY, UT 84117-4434
(801) 416-0862
Mailing address
11411 S HOLLY SPRINGS DR, SOUTH JORDAN, UT 84009-1278
(801) 471-4585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8603913-3501
UT
Other
Enumeration date
10/25/2021
Last updated
06/08/2023
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