Individual provider · Type 1 NPI

Lisa Gaffney-Gonzalez, CMHC, SUDC

Mental Health Counselor · Salt Lake City, UT

NPI number 1154773190 Active

Practice location

4505 S Wasatch Blvd
Salt Lake City, UT 84124-4709

Mailing address

3148 S 1100 W
West Valley City, UT 84119-3304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154773190

Lisa Gaffney-Gonzalez, CMHC, SUDC's National Provider Identifier is 1154773190, issued on Jul 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 14, 2022.