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1053921536
BRETT MORTENSEN
PROVO, UT
NPI
1053921536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 6377316-6004)
Enumeration Date
2020-08-09
Last Update Date
2020-08-09
Business Address
BRETT MORTENSEN CMHC
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
BRETT MORTENSEN CMHC
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
Copy
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