Organization
BROOKHAVEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE WILY IBANEZ LCSW (OWNER/THERAPIST)
(801) 919-4854
Entity
Organization
Contact information
Practice address
2578 W 600 N SUITE 102, LINDON, UT 84042-2076
(801) 919-4854
Mailing address
2578 W 600 N SUITE 102, LINDON, UT 84042-2076
(801) 919-4854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
05/23/2024
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