Individual
BRANDEE LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHCA STUDENT INTERN
Contact information
Practice address
2655 S LAKE ERIE DR STE B, WEST VALLEY, UT 84120-7351
(385) 441-4900
Mailing address
2655 S LAKE ERIE DR STE B, WEST VALLEY, UT 84120-7351
(385) 441-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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