person
Dr. Roger Dale Gisseman, PHD
Professional Counselor in Salt Lake City, Utah
NPI 1619267549

Roger Dale Gisseman is a Professional Counselor based in Salt Lake City, UT and is specialized in Professional. Roger Dale Gisseman practices in Salt Lake City, UT and has the professional credentials of PHD. The NPI Number for Roger Dale Gisseman is 1619267549 and holds a License No. 3162878-6004 (Utah).

The current practice location address for Roger Dale Gisseman is 177 Price Ave, Salt Lake City, UT and can be reached out via phone at 385-468-4531.

Location: 177 Price Ave, Salt Lake City, UT, 84109-3243
person
Provider Profile Details
NPI Number
1619267549
Provider Name
Roger Dale Gisseman
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
177 Price Ave, Salt Lake City, UT, 84109-3243
Phone Number
385-468-4531
Fax Number
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
177 Price Ave
City
State
Zip
84115-4345
Phone Number
385-468-4531
Fax Number
person
Provider Business Mailing Address Details
Address
177 Price Ave
City
State
Zip
84115-4345
Phone Number
385-468-4531
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3162878-6004 (Utah)
Definition
Definition to come...
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