Provider Demographics
NPI:1922639186
Name:ESPLIN, BRENT (LMFT)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:
Last Name:ESPLIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 N 1170 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4430
Mailing Address - Country:US
Mailing Address - Phone:801-404-0706
Mailing Address - Fax:
Practice Address - Street 1:626 N 1170 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4430
Practice Address - Country:US
Practice Address - Phone:801-404-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT346392-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist