Individual
DANIEL CLIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 E HIGHWAY 123, SUNNYSIDE, UT 84539-7725
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 460, SUNNYSIDE, UT 84539-0460
(435) 888-4411
(435) 888-2270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11508443-6004
UT
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/05/2014
Last updated
04/11/2025
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