Individual
BRITTANY REVA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
7272 S 2530 W # WET, WEST JORDAN, UT 84084-3058
(208) 479-6627
Mailing address
7272 S 2530 W # WET, WEST JORDAN, UT 84084-3058
(208) 479-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109461746009
UT
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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