Individual
BROOKE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
64 S 360 E, AMERICAN FORK, UT 84003-2590
(435) 494-1256
Mailing address
654 S AUSTRIAN PINE DR, LAYTON, UT 84041-7540
(435) 494-1256
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11755257-3902
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
02/15/2023
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