Individual
AMY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1218 W SOUTH JORDAN PKWY STE A2, SOUTH JORDAN, UT 84095-5946
(385) 645-8889
Mailing address
15047 S BUGLE RIDGE DR, HERRIMAN, UT 84096-5722
(801) 787-0033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
01/17/2025
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