Individual
MR. SAMUEL JOSEPH GORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Mailing address
798 COUNTRY CLB, STANSBURY PARK, UT 84074-9624
(801) 661-6571
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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