Individual
BRIAN LEE KINGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
3453 MEADOW BREEZE WAY, WEST VALLEY, UT 84128-7801
(801) 243-3146
Mailing address
3453 MEADOW BREEZE WAY, WEST VALLEY, UT 84128-7801
(801) 243-3146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8029405-6009
UT
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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