Individual
BROOKE SPLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
740 E 9000 S STE A, SANDY, UT 84094-3077
(801) 930-0121
Mailing address
1848 E PEYTON CT, HOLLADAY, UT 84117-5654
(310) 213-1044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11841969-6004
UT
101YM0800X
Mental Health Counselor
11841969-6009
UT
Other
Enumeration date
06/23/2021
Last updated
12/21/2022
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