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NPI Code Detail

MEDICARE: BRINLEE BENARD LCSW

MEDICARE: BRINLEE BENARD LCSW
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
1101Y00000XCounselor
21041C0700XClinical Social Worker10457476-3501UT

General Provider Information

NPI Number : 1831645605
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRINLEE BENARD LCSW
Provider Business Mailing Address
First Line : 5965 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84121-1850
Country : US
Telephone Number : 801-872-5516
Fax Number : 801-212-9942
Provider Business Practice Location Address
First Line : 5965 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84121-1850
Country : US
Telephone Number : 801-872-5516
Fax Number : 801-212-9942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/28/2023

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Directions to “ BRINLEE BENARD LCSW” Practice Location

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