Individual
PAUL GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
1282 PALMER CIR, ST GEORGE, UT 84790-7742
(435) 256-5268
Mailing address
1282 PALMER CIR, ST GEORGE, UT 84790-7742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5850598-6009
UT
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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