Individual
BRIAN MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1990 DRY LAKES RD, BRIAN HEAD, UT 84719
(435) 477-6025
Mailing address
1990 DRY LAKES RD, BRIAN HEAD, UT 84719
(435) 477-6025
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7897652-3902
UT
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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