Millard, Gina Ann

Millard, Gina Ann is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Millard, Gina Ann can be contacted via phone (385) 646-5000.

Contact Information

Primary practice address
2500 S State St South Salt Lake UT 84115-3164
Phone: (385) 646-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5623481-3501 Utah
Behavioral Health & Social Service Providers / School 1041S0200X Utah

Profile Details

NPI number 1245977669
LBN Legal business name Millard, Gina Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2022
Last updated May 17th, 2022 - about 2 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.

Request for update

Popular Providers