Individual
BRYSEN BOCCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Mailing address
3263 S HIGHWAY 89 STE 200A, BOUNTIFUL, UT 84010-8557
(385) 448-1697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11605755-6004
UT
Other
Enumeration date
02/13/2020
Last updated
08/22/2023
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