Individual
MR. JAROM GABRIEL GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
489 W SOUTH JORDAN PKWY STE 228, SOUTH JORDAN, UT 84095-3980
(801) 341-9310
Mailing address
4460 S HIGHLAND DR, SUITE 230, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8328725-6009
UT
Other
Enumeration date
05/24/2013
Last updated
06/15/2023
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