Provider Demographics
NPI:1295027001
Name:WESTWOOD, BREANNE (CMHC)
Entity Type:Individual
Prefix:
First Name:BREANNE
Middle Name:
Last Name:WESTWOOD
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8852 N HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:DAMMERON VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84783-5182
Mailing Address - Country:US
Mailing Address - Phone:435-632-8483
Mailing Address - Fax:
Practice Address - Street 1:1244 N MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-5009
Practice Address - Country:US
Practice Address - Phone:435-850-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8425922-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health