Individual
GRETCHEN WILTBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
140 N TUACAHN DR UNIT 31, IVINS, UT 84738-6070
(801) 787-5092
(833) 536-1718
Mailing address
140 N TUACAHN DR UNIT 31, IVINS, UT 84738-6070
(801) 787-5092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
06/07/2021
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