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Individual
MR. SAMUEL JOSEPH GORTON
Active
Individual
MR. SAMUEL JOSEPH GORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6815649-3503
UT
101YM0800X
Mental Health Counselor
Primary
6815649-6004
UT
101YP2500X
Professional Counselor
LPC.0020480
CO
Other
Enumeration date
03/10/2011
Last updated
03/22/2024
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