Individual
RUSSELL CLIFFORD GAEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LPC
Contact information
Practice address
1835 N 1120 W, PROVO, UT 84604-1180
(801) 623-4770
(801) 623-4771
Mailing address
PO BOX 1001, SPANISH FORK, UT 84660-7001
(801) 623-4770
(801) 623-4771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
268792-6004
UT
Other
Enumeration date
12/08/2006
Last updated
04/27/2026
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