BRAD ANDERSON

MORONI, UT
NPI1255766242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-09-09
Last Update Date2013-09-09
Business Address
-- BRAD ANDERSON
21260 N. 1450 E.
MORONI, UT 84646-0383
Phone number: 435-851-6821
Mailing Address
-- BRAD ANDERSON
21260 N. 1450 E.
MORONI, UT 84646-0383
Phone number: