Individual
JACOB DARIUS GOSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
175 W 1400 N STE A, LOGAN, UT 84341-6816
(435) 752-5302
Mailing address
1475 N 420 W APT 101, LOGAN, UT 84341-4068
(801) 564-4024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12745274-3904
UT
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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