Individual provider · Type 1 NPI

Gina M. Zupan, ACMHC

Mental Health Counselor · Provo, UT

NPI number 1205470366 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X11508440-6009 (UT)
Mental Health Counselor Primary 101YM0800X11508440-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1205470366

Gina M. Zupan, ACMHC's National Provider Identifier is 1205470366, issued on Nov 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Dec 7, 2023.