Individual
AMANDA GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
564 S 50 W, KAYSVILLE, UT 84037-2506
(385) 350-0171
Mailing address
564 S 50 W, KAYSVILLE, UT 84037-2506
(385) 350-0171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9793828-3501
UT
1041C0700X
Clinical Social Worker
Primary
9793828-3501
UT
Other
Enumeration date
06/27/2016
Last updated
01/05/2026
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