Individual
MS. GRETCHEN DAWN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSUDC
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
1051 E 7625 S, MIDVALE, UT 84047-2958
(801) 633-5925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8145911-6005
UT
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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