Black, Brent

Black, Brent is an individual health care provider with primary practice located at 750 N 200 E , Provo UT 84606-1705. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Black, Brent can be contacted via phone (435) 459-1526.

Contact Information

Primary practice address
750 N 200 E Provo UT 84606-1705
Phone: (435) 459-1526
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1679825756
LBN Legal business name Black, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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