Individual
GABRIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6084 W 5200 S, HOOPER, UT 84315-9561
(801) 989-3222
Mailing address
6084 W 5200 S, HOOPER, UT 84315-9561
(801) 989-3222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14264714-6004
UT
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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