Individual
BRIAN TANNER TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 W 800 S, ROOSEVELT, UT 84066
(435) 725-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9853642-3501
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
07/13/2026
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