person
Tyler J Gordon, CMHC
Mental Health Counselor in St George, Utah
NPI 1104392042

Tyler J Gordon is a Mental Health Counselor based in St George, UT and is specialized in Mental Health. Tyler J Gordon practices in St George, UT and has the professional credentials of CMHC. The NPI Number for Tyler J Gordon is 1104392042 and holds a License No. 10977493-6009 (Utah).

The current practice location address for Tyler J Gordon is 750 Ridgeview Dr Ste 104, St George, UT and can be reached out via phone at 801-822-2407.

Location: 750 Ridgeview Dr Ste 104, St George, UT, 84770-2696
person
Provider Profile Details
NPI Number
1104392042
Provider Name
Tyler J Gordon
Credential
CMHC
Provider Entity Type
Individual
Gender
Male
Address
750 Ridgeview Dr Ste 104, St George, UT, 84770-2696
Phone Number
801-822-2407
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-1067031 01 UT SOLE PROPRIETOR BUSINESS
institution
Provider Business Practice Location Address Details
Address
750 Ridgeview Dr Ste 104
City
State
Zip
84770-2696
Phone Number
801-822-2407
Fax Number
person
Provider Business Mailing Address Details
Address
750 Ridgeview Dr Ste 104
City
State
Zip
84770-2696
Phone Number
801-822-2407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10977493-6009 (Utah)
Definition
Definition to come...
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