TYLER BRUSH

Counselor

Active Individual
NPI: 1639678782

Practice Address

836 N 1375 W
Provo, UT 84604

Phone: (801) 375-2523

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1639678782 is the National Provider Identifier for TYLER BRUSH, a Counselor provider located in Provo, UT. This NPI was enumerated on February 5, 2018.
TYLER BRUSH practices at 836 N 1375 W, Provo, UT 84604.

Quick Facts

NPI
1639678782
Type
Individual
Enumerated
Feb 5, 2018
Last Updated
Feb 5, 2018

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