MEDICARE: DAVID SCOTT BRIGGS ED.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	13425370-6010	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13425370-6010	OTHER	UT	DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

General Provider Information

NPI Number	:	1750560991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SCOTT BRIGGS ED.S.

Provider Business Mailing Address
First Line	:	2194 W AUTUMN DR
Second Line	:
City	:	MAPLETON
State	:	UT
Zip	:	84664-5694
Country	:	US
Telephone Number	:	307-275-0869
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 SPRINGDELL CIRCLE, PROVO CANYON RD, PROVO, UT 8460
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604
Country	:	US
Telephone Number	:	410-975-7558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	05/28/2024

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