MS. CRYSTAL NICOLE GARDUNO (NPI# 1144527243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144527243 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL NICOLE GARDUNO |
| Credential | APC |
| Practice Address |
1522 South 1100 East Salt Lake City UT 84105 |
| Practice Telephone | 8014671200 |
| Practice Fax Number | 8014671210 |
| Mailing Telephone | 8014671200 |
| Mailing Fax Number | 8014671210 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
81615876009 | UT | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1522 SOUTH 1100 EAST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790043867 | Psychiatric & Behavioral Solutions, L.L.C. | Community/Behavioral Health | 1522 South 1100 East, Salt Lake City, UT 84105 | 2012-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| 1902084411 | Lilly Landikusic | Marriage & Family Therapist | 749 East Logan Avenue, Salt Lake City, UT 84105 | 2008-02-06 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902368640 | Jennifer Elizabeth | Counselor | 1583 S 1600 E, Salt Lake City, UT 84105-2829 | 2019-04-02 |
| 1487114138 | Kara Kristine Groicher | Counselor | 525 E 100 S Ste 320, Salt Lake City, UT 84102-4210 | 2019-03-20 |
| 1649644428 | Naomia Bell | Counselor | 5965 S 900 E Ste 430, Salt Lake City, UT 84121-1720 | 2015-11-17 |
| 1033506464 | Maikel Hernandez | Counselor | 207 E Williams Ave, Salt Lake City, UT 84111-4625 | 2015-04-23 |
| 1619242062 | Martin Lynn Macdonald | Counselor | 2872 S. Highland Drive, Touchstone Therapy Center, Salt Lake City, UT 84106 | 2012-03-19 |
| 1447522297 | Ivana Juarez | Counselor | 570 N 200 W, Apt 9, Salt Lake City, UT 84103-1334 | 2012-02-08 |
| 1891085346 | Randall Ann Smith | Counselor | 160 S 600 E, #300, Salt Lake City, UT 84102-1962 | 2011-04-17 |
| 1497054829 | Alyson R Ainscough | Counselor | 2549 Melbourne St, Salt Lake City, UT 84106-4003 | 2011-03-24 |
| 1215242003 | Edward Paul France | Counselor | 125 W Burton Ave, Salt Lake City, UT 84115-2610 | 2010-08-17 |
| 1144535691 | Joan Alexis Nemovicher | Counselor | 2440 E 900 S, Salt Lake City, UT 84108-1441 | 2010-08-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on MS. CRYSTAL NICOLE GARDUNO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.