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Mr. Brian Charles Johanson
Mental Health Counselor in Ephraim, Utah
NPI 1396281036

Brian Charles Johanson is a Mental Health Counselor based in Ephraim, UT and is specialized in Mental Health. Brian Charles Johanson practices in Ephraim, UT. The NPI Number for Brian Charles Johanson is 1396281036 and holds a License No. 168802035 (Utah).

The current practice location address for Brian Charles Johanson is 152 N 400 W, Ephraim, UT and can be reached out via phone at 435-283-8400 and via fax at 435-283-8401.

Location: 152 N 400 W, Ephraim, UT, 84627-5549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396281036
Provider Name
Brian Charles Johanson
Credential
Provider Entity Type
Individual
Gender
Male
Address
152 N 400 W, Ephraim, UT, 84627-5549
Phone Number
435-283-8400
Fax Number
435-283-8401
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
152 N 400 W
City
Ephraim
State
Utah
Zip
84627-5549
Phone Number
435-283-8400
Fax Number
435-283-8401
person
Provider Business Mailing Address Details
Address
152 N 400 W
City
Ephraim
State
Utah
Zip
84627-5549
Phone Number
435-283-8400
Fax Number
435-283-8401
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
168802035 (Utah)
Definition
Definition to come...
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