BRET B DAVIS

PROVO, UT
NPI1871895516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  6962782-6006)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
Mr. BRET B DAVIS LSAC
151 S UNIVERSITY AVE SUITE 1500
PROVO, UT 84601-4427
Phone number: 801-851-7194
Mailing Address
Mr. BRET B DAVIS LSAC
744 W 210 N
OREM, UT 84057-4526
Phone number:
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