| Holbrook Therapeutic Services, Llc | |
|
12670 N 6500 E Spring City UT 84662 | |
| (435) 676-3020 | |
| (435) 462-9839 |
| Full Name | Holbrook Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12670 N 6500 E, Spring City, Utah |
| Authorized Official Name and Position | Garry Richard Holbrook (OWNER/ LCSW) |
| Authorized Official Contact | 4356763020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holbrook Therapeutic Services, Llc Po Box 575 Spring City UT 84662-0575 Ph: (435) 676-3020 | Holbrook Therapeutic Services, Llc 12670 N 6500 E Spring City UT 84662 Ph: (435) 676-3020 |
| NPI Number | 1447592241 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447592241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 379899-3501 (Utah) | Primary |
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