Individual
ABBY NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
(435) 740-6092
Mailing address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
(435) 740-6092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
UT
Other
Enumeration date
01/03/2023
Last updated
11/02/2023
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