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Dr. Russell Clifford Gaede, PSYD,LPC
Counselor in Provo, Utah
NPI 1225197759

Russell Clifford Gaede is a Counselor based in Spanish Fork, UT. Russell Clifford Gaede practices in Provo, UT and has the professional credentials of PSYD,LPC. The NPI Number for Russell Clifford Gaede is 1225197759 and holds a License No. 268792-6004 (Utah).

The current practice location address for Russell Clifford Gaede is 1835 N 1120 W, Provo, UT and can be reached out via phone at 801-623-4770 and via fax at 801-623-4771.

Location: 1835 N 1120 W, Provo, UT, 84660-7001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225197759
Provider Name
Russell Clifford Gaede
Credential
PSYD,LPC
Provider Entity Type
Individual
Gender
Male
Address
1835 N 1120 W, Provo, UT, 84660-7001
Phone Number
801-623-4770
Fax Number
801-623-4771
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1835 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-623-4770
Fax Number
801-623-4771
person
Provider Business Mailing Address Details
Address
1835 N 1120 W
City
Provo
State
Utah
Zip
84604-1180
Phone Number
801-623-4770
Fax Number
801-623-4771
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
268792-6004 (Utah)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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