NPI 1255821500

Bryan Kubricht

Practitioner Marriage & Family Therapist Pleasant Grove, UT

Practice location

Address: 519 W State Rd STE 102, Pleasant Grove, UT 84062-2158
Phone: (385) 312-9844

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 8789657-3902 (UT)

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Registry record

NPI: 1255821500
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2018
Record last updated: 12 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.