James, Gretchen

James, Gretchen is an individual health care provider with primary practice located at 5411 S Vine St , Murray UT 84107-7746. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. James, Gretchen can be contacted via phone (801) 209-6610.

Contact Information

Primary practice address
5411 S Vine St Murray UT 84107-7746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5353133-3501 Utah

Profile Details

NPI number 1063477321
LBN Legal business name James, Gretchen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 30th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063477321 NPPES
Utah MEDICAID 788007788049

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