Individual
JOHN A GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
5800 SOUTH HIGHLAND DRIVE, SALT LAKE CITY, UT 84121-1346
(801) 272-9980
Mailing address
5800S. HIGHLAND DRIVE, SALT LAKE CITY, UT 84121-1346
(801) 272-9980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
371585-6004
UT
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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