Doctor Name: | BRENT J. LAMBETH |
NPI Number: | 1003281643 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMHC |
License Number: | 6985011-6004 |
Business Practice Address: | 465 W 1600 N Cedar City, UT - 847217743 |
Business Phone Number: | 4355862500 |
Business Fax Number: | |
Mailing Address: | 1115 S Main St Ste 200, CEDAR CITY |
State: | UT |
Postal Code: | 847203834 |
Phone Number: | 4355862500 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2015 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6985011-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |