Individual
BRYAN J DALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ACMHC
Contact information
Practice address
3585 N UNIVERSITY AVE STE 300, PROVO, UT 84604-6611
(801) 797-1111
(801) 996-0158
Mailing address
426 W 200 N APT 102, SPRINGVILLE, UT 84663-6044
(801) 635-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
142232426009
UT
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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