Individual
GAYLENE LAVERNE RINCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
185 N MAIN ST STE 701, TOOELE, UT 84074-2189
(435) 224-4390
Mailing address
185 N MAIN ST STE 701, TOOELE, UT 84074-2189
(435) 625-0862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
125912856009
UT
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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