Individual
MR. BRET B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAC
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 1500, PROVO, UT 84601-4427
(801) 851-7194
Mailing address
744 W 210 N, OREM, UT 84057-4526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6962782-6006
UT
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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