MR. Brand Bonsall

NPI #1427556018 in Santa Clara, Utah

Provider Information

NPI Number: 1427556018
Entity Type: Individual
Name: MR. Brand Bonsall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 29, 2018
Last Updated: Jan 29, 2018

Practice Location

Address: 2711 SANTA CLARA DRIVE
City: Santa Clara
State: Utah
ZIP Code: 84765
Phone: (435) 674-9310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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