Gabriel McQueen
Case Manager/Care Coordinator in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1083123731
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1083123731
- Entity type
- Individual (NPI-1)
- Name
- Gabriel McQueen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2017
- Certification date
- Jan 7, 2020
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
4460 S Highland Dr Ste 230Salt Lake City, UT 84124-3550
Phone 888-949-4864
Mailing address
4460 S Highland Dr Ste 230Salt Lake City, UT 84124-3550
Phone 888-949-4864
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