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Bryan Richard Moulton, LPC
Professional Counselor in Ephraim, Utah
NPI 1659678365

Bryan Richard Moulton is a Professional Counselor based in Ephraim, UT and is specialized in Professional. Bryan Richard Moulton practices in Ephraim, UT and has the professional credentials of LPC. The NPI Number for Bryan Richard Moulton is 1659678365 and holds a License No. 6200010-6004 (Utah).

The current practice location address for Bryan Richard Moulton is 240 E 300 N, Ephraim, UT and can be reached out via phone at 435-851-6733.

Location: 240 E 300 N, Ephraim, UT, 84627-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659678365
Provider Name
Bryan Richard Moulton
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
240 E 300 N, Ephraim, UT, 84627-1228
Phone Number
435-851-6733
Fax Number
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 E 300 N
City
Ephraim
State
Utah
Zip
84627-1228
Phone Number
435-851-6733
Fax Number
person
Provider Business Mailing Address Details
Address
240 E 300 N
City
Ephraim
State
Utah
Zip
84627-1228
Phone Number
435-851-6733
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6200010-6004 (Utah)
Definition
Definition to come...
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