Bryan Richard Moulton, LPC

NPI #1659678365 in Ephraim, Utah

Provider Information

NPI Number: 1659678365
Entity Type: Individual
Name: Bryan Richard Moulton, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Feb 15, 2011
Last Updated: Feb 15, 2011

Practice Location

Address: 240 E 300 N
City: Ephraim
State: Utah
ZIP Code: 84627-1228
Phone: (435) 851-6733

Specialties & Taxonomy Codes

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

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