Provider Demographics
NPI:1437475118
Name:BRIGGS, DONALD ROY (LPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ROY
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 4500 S STE 260
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3954
Mailing Address - Country:US
Mailing Address - Phone:801-747-3556
Mailing Address - Fax:801-747-2086
Practice Address - Street 1:345 E 4500 S STE 260
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-3954
Practice Address - Country:US
Practice Address - Phone:801-747-3556
Practice Address - Fax:801-747-2086
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5076247-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional