Individual
BRENDA COLLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(801) 322-3222
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
UT
171M00000X
Case Manager/Care Coordinator
Primary
17100000X
UT
Other
Enumeration date
05/13/2020
Last updated
09/06/2025
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