| Brenan R Godfrey, RBT | |
|
169 N Gateway Dr, Providence, UT 84332-9707 | |
| (435) 915-6927 | |
| (435) 220-2030 |
| Full Name | Brenan R Godfrey |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 169 N Gateway Dr, Providence, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861157877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 14176565-3902 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenan R Godfrey, RBT 87 S Main St, Clarkston, UT 84305-7732 Ph: (801) 655-4950 | Brenan R Godfrey, RBT 169 N Gateway Dr, Providence, UT 84332-9707 Ph: (435) 915-6927 |
Ty Bracken Aller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 545 W 465 N Ste 130, Providence, UT 84332 Phone: 385-200-3993 | |
Troy Benallie, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 | |
Spencer Dutson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 330 S 100 W, Providence, UT 84332 Phone: 435-265-8565 | |
Daniel Griffin Fast, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 Fax: 435-994-8362 |