Individual
JORDAN GRANT GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1452 E 820 N UPPR LEVEL, OREM, UT 84097-5481
(801) 438-4059
Mailing address
50 W BROADWAY STE 333 #455777, SALT LAKE CITY, UT 84101
(801) 438-4059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9045156-3904
UT
Other
Enumeration date
08/06/2022
Last updated
04/19/2024
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