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Individual

DR. MICHAEL ESTEBAN GERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CMHC, LMHC, CRC

Contact information

Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-3401
(844) 308-5865
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-3401

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
086738
IA
101YM0800X
Mental Health Counselor
Primary
11891260-6004
UT

Other

Enumeration date
09/25/2017
Last updated
09/08/2020
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