Ty Bracken Aller
Ty Bracken Aller is a Marriage & Family Therapist in Providence, Utah. Licensed in Utah. Registered with an NPI since 2018.
- Licensed in
- UT
- In the registry since
- 2018
Practice location Address checks out
545 W 465 N Ste 130Providence, UT 84332-8005
Phone: (385) 200-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 9560142-3902 (UT) |
|---|
Record details
| NPI number | 1386119600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2018 |
| Last updated in NPPES | October 29, 2018 |
| Mailing address | Po Box 583, Providence, UT 84332-0583 |
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Daniel Griffin Fast
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-
Brenan R Godfrey, RBT
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