Individual
MR. GABRIEL MILES MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10434 S 1055 W STE 101, SOUTH JORDAN, UT 84095-1521
(435) 565-1305
Mailing address
3042 S 2225 E, SALT LAKE CITY, UT 84109-2419
(410) 794-6898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13409852-6004
UT
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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