Mackenzie J. Brown
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Moroni, UT
NPI 1386928901 · NPPES record last updated Sep 30, 2011
Key facts
- NPI
- 1386928901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 21260 North 1450 East
Moroni, UT 84646-0383 - Phone
- (435) 851-6281
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
21260 North 1450 East
Moroni, UT 84646-0383
Mailing address
21260 North 1450 East
Moroni, UT 84646-0383
Other providers in Moroni, UT
- Blue Hills Residential Treatment
- Blue Hills Residential Treatment
- Blue Hills Residential Treatment
- Tracy R Braithwaite
- Amy Ruth Brown
- Tina Rebecca Carlson
- Keaton Cheney
- Kolton Cheney
- Russell D. Christensen
- Ethan Colburn
All providers in Moroni, UT · Addiction (Substance Use Disorder) Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.