Gossner, Jacob Darius

Gossner, Jacob Darius is an individual health care provider with primary practice located at 175 W 1400 N Ste A , Logan UT 84341-6816. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gossner, Jacob Darius can be contacted via phone (435) 752-5302.

Contact Information

Primary practice address
175 W 1400 N Ste A Logan UT 84341-6816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 12745274-3904 Utah

Profile Details

NPI number 1376288043
LBN Legal business name Gossner, Jacob Darius
Credentials LAMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Apr 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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