Gordon Jack Gunn, LCSW
Counselor, Mental Health in Washington, UT. Individual provider (NPI-1).
NPI number1982808176
StatusActive
Last updated in NPPESApr 25, 2008
Details
- NPI
- 1982808176
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gordon Jack Gunn
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2007
- Last updated
- Apr 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 121756-3501 | UT | Yes |
Practice location
2458 S Camino RealWashington, UT 84780-8292
Phone 435-773-1117
Mailing address
2458 S Camino RealWashington, UT 84780-8292
Phone 435-773-1117
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