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Organization

ELEVO COUNSELING & COACHING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB GIBSON PHD, LMFT (OWNER)
(801) 301-2450
Entity
Organization

Contact information

Practice address
2940 W MAPLE LOOP DR STE L13, LEHI, UT 84043-6097
(801) 335-5378
Mailing address
2940 W MAPLE LOOP DR STE L13, LEHI, UT 84043-6097
(801) 335-5378

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
12/16/2019
Last updated
05/25/2022
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