Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON J WILDE, CMHC
Active Sole ProprietorDR. BRANDON J WILDE, CMHC is a Mental Health Counselor healthcare provider located in PROVO, Utah. NPI 1710140447 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PROVO, UT
Registration Details
- NPI Number
- 1710140447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2008 (18.09687098268 yrs)
- Last Updated
- Sep 10, 2024
- Licenses
-
9471002-6004 (UT)LPC3887 (ID)LPC-17502 (AZ)CP3313-R (NV)9471022-6044 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 E 1700 S BLDG 3PROVO, UT, 846065644Browse UT providers · Browse ZIP 84606
- Phone
- 8019003656
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| JANENE CANDALOT | CMHC | 1649373259 |
| GARN LOVELAND | PHYSICAL THERAPIST | 1275624793 |
| MONTE SOLOMON MEMMOTT | SSW | 1205928504 |
| ANNA CHRISTINE MALINKA | CPCI | 1629161468 |
| MR. THOMAS W HAZEN | CMHC | 1083785240 |
| YOSHIKO MIYAKE | MA, CMHC | 1598836090 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.