Individual provider · Type 1 NPI
John A. Gamboa, L.P.C
Mental Health Counselor · Salt Lake City, UT
NPI number
1992924062
Active
Practice location
5800 South Highland Drive
Salt Lake City, UT 84121-1346
Mailing address
5800S. Highland Drive
Salt Lake City, UT 84121-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 371585-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1992924062
John A. Gamboa, L.P.C's National Provider Identifier is 1992924062, issued on Apr 25, 2007. 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 Jul 8, 2007.