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Individual

REGINA BRUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACMHC, RN

Contact information

Practice address
5455 W 11000 N STE 201, HIGHLAND, UT 84003-8820
(801) 449-0017
Mailing address
5455 W 11000 N STE 201, HIGHLAND, UT 84003-8820
(801) 449-0017

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14199401-6009
UT
163W00000X
Registered Nurse
14179257-3102
UT

Other

Enumeration date
11/06/2017
Last updated
03/18/2025
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