Brandon Lee Allen
Individual provider Active NPI Counselor · Brigham City, UT
NPI 1669945531 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1669945531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 971 South 800 West
#104
Brigham City, UT 84302 - Phone
- (435) 239-8445
- NPI assigned
- Jan 3, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
971 South 800 West
#104
Brigham City, UT 84302
Mailing address
971 South 800 West
#104
Brigham City, UT 84302
Phone (435) 239-8445
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. 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.