Individual
BRANDON E CONDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, BCBA
Contact information
Practice address
570 E 1400 S, OREM, UT 84097-7714
(801) 634-7965
Mailing address
29 S STATE ST, #510, SALT LAKE CITY, UT 84111-1535
(801) 634-7965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6148541-6004
UT
101YP2500X
Professional Counselor
C2057
OR
103K00000X
Behavior Analyst
1-09-5786
UT
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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