Provider Information for 1720560915
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ADRIENNE GAMBLE CMHC
Sex: Female
NPI: 1720560915
Last Updated: 2022-03-21
Certification Date: 2022-03-21
Certification Date: 2022-03-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1720560915 | ||||||||||||
| Enumeration Date | 2018-09-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 325 S 400 E APT 1 SALT LAKE CITY, UT 84111-2903 United States Phone: 801-322-3222 | Fax: | ||||||||||||
| Primary Practice Address | 344 E 100 S SALT LAKE CITY, UT 84111-1700 United States Phone: 801-322-3222 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|