Individual
MR. BROCKTON GREGGORY CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 N BEACON DR, CEDAR CITY, UT 84720-3098
(702) 375-6544
Mailing address
295 N BEACON DR, CEDAR CITY, UT 84720-3098
(702) 375-6544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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