Individual
MR. MICHAEL BRANNON PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.W.
Contact information
Practice address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
(801) 355-2846
(801) 359-3244
Mailing address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
(801) 355-2846
(801) 359-3244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7217400-3502
UT
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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