Brent Andrew Tycksen JR., LCSW

NPI #1962856930 in Provo, Utah

Provider Information

NPI Number
1962856930
Entity Type
Individual
Name
Brent Andrew Tycksen JR., LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 15, 2016
Last Updated
Oct 23, 2023

Practice Location

Address
5600 NORTH 250 WEST
City
Provo
State
Utah
ZIP Code
84604
Phone
(801) 226-4600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

Additional Practice Locations

750 N Freedom Blvd

Provo, UT, 84601-1677

(801) 373-4760

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