MEDICARE: PETER BRYAN CONDER LCMHC

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

General Provider Information

NPI Number	:	1710367610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER BRYAN CONDER LCMHC

Provider Business Mailing Address
First Line	:	2265 S STATE ST APT 272
Second Line	:
City	:	SOUTH SALT LAKE
State	:	UT
Zip	:	84115-1405
Country	:	US
Telephone Number	:	435-720-8338
Fax Number	:

Provider Business Practice Location Address
First Line	:	2265 S STATE ST APT 272
Second Line	:
City	:	SOUTH SALT LAKE
State	:	UT
Zip	:	84115-1405
Country	:	US
Telephone Number	:	435-720-8338
Fax Number	:

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

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	05/11/2020

Similar Medicare Providers

1477175560 — AUTHENTICITY UTAH PLLC
Practice Location Address:

2265 S STATE ST APT 272
SOUTH SALT LAKE, UT
84115-1405

Practice Phone: 435-720-8338
Practice Fax:

1821024316 — DESERET CARE LLC
Practice Location Address:

1405 WEST 2200 SOUTH , STE 200
SALT LAKE CITY, UT
84119

Practice Phone: 801-973-0900
Practice Fax: 801-973-9571

1477759678 — LOVE INFUSION PHARMACY LLC
Practice Location Address:

1405 W 2200 S , SUITE 201
SALT LAKE CITY, UT
84119-1485

Practice Phone: 801-973-0900
Practice Fax: 801-973-9571

1548238017 — DR. ROY A. GILL M.D.
Practice Location Address:

1405 SOUTH HIGH ST.
COLUMBUS, OH
43206

Practice Phone: 614-293-3330
Practice Fax: 614-293-3336

1710995857 — DR. RONALD R DESMARAIS DC
Practice Location Address:

1405 HUNTINGTON AVE , #102
SOUTH SAN FRANCISCO, CA
94080-5988

Practice Phone: 650-588-9962
Practice Fax: 650-588-9964

1710074257 — LIZA D CHAVEZ, MD., INC
Practice Location Address:

3650 E. SOUTH ST , SUITE 308
LAKEWOOD, CA
90712-1405

Practice Phone: 562-633-2204
Practice Fax: 562-633-2579

Directions to “ PETER BRYAN CONDER LCMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.