MR. GORDON JACK GUNN


Address: 2458 S Camino Real, Washington, UT 84780-8292
Phone: 4357731117

MR. GORDON JACK GUNN (NPI# 1982808176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982808176
Entity Type Individual
Full Name MR. GORDON JACK GUNN
Credential LCSW
Practice Address 2458 S Camino Real
Washington
UT 84780-8292
Practice Telephone 4357731117
Mailing Telephone 4357731117
Enumeration Date 2007-06-12
Last Update Date 2008-04-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
121756-3501 UT Behavioral Health & Social Service Providers

Other Providers GORDON GUNN

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 2458 S CAMINO REAL
City WASHINGTON
State UT
Zip Code 84780-8292

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1992312706 Carolyn Elaine Gonterman Counselor 2223 40th St Nw Apt 2, Washington, DC 20007-1736 2020-09-25
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Competitor

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City WASHINGTON
Zip Code 84780

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Dataset Information

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.

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