Search › Utah › 1041C0700X
Brent Tycksen, LCSW
NPI 1962856930 · on the registry since 2016
Practice
- Address
- 5600 North 250 West
Provo, UT 84604 - Phone
- (801) 226-4600
- Clinicians at this address
- 4
Additional practice sites
- 750 N Freedom Blvd, Provo, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah