BROCKTON GREGGORY CHAPPELL

CEDAR CITY, UT
NPI1629360219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-05-14
Last Update Date2011-05-14
Business Address
Mr. BROCKTON GREGGORY CHAPPELL
295 N BEACON DR
CEDAR CITY, UT 84720-3098
Phone number: 702-375-6544
Mailing Address
Mr. BROCKTON GREGGORY CHAPPELL
295 N BEACON DR
CEDAR CITY, UT 84720-3098
Phone number: 702-375-6544