Individual
LAMAR J GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
50 N MAIN ST, TOOELE, UT 84074-2139
(801) 634-8727
(801) 733-4083
Mailing address
50 N MAIN ST, TOOELE, UT 84074-2139
(801) 634-8727
(801) 733-4083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
330366-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330366-6044
LICENSE
UT
Enumeration date
01/02/2007
Last updated
07/08/2007
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