Individual
JACOB GRANT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-16935
AZ
101YP2500X
Professional Counselor
Primary
10540388-6004
UT
Other
Enumeration date
10/10/2017
Last updated
04/10/2026
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