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Individual

MS. SACHIKO BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
1175 E. 300 N., PROVO, UT 84606-1690
(801) 367-1418
Mailing address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6364393-6004
UT

Other

Enumeration date
11/20/2007
Last updated
11/12/2019
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