Individual
BRIAN CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
5689 S REDWOOD RD, SUITE 27, TAYLORSVILLE, UT 84123-5447
(801) 266-2485
Mailing address
6941 S VILLAGE RIVER LN, #3, MIDVALE, UT 84047-5641
(801) 671-2876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
68365696009
UT
101YM0800X
Mental Health Counselor
Primary
68365696004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538331913
NPI NUMBER
—
Enumeration date
03/26/2008
Last updated
01/09/2017
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