Brett Michaelq Elder

NPI #1124303417 in Provo, Utah

Provider Information

NPI Number: 1124303417
Entity Type: Individual
Name: Brett Michaelq Elder
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 18, 2011
Last Updated: Oct 18, 2011

Practice Location

Address: 715 W 1850 N
City: Provo
State: Utah
ZIP Code: 84604-1416
Phone: (801) 375-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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