LIAL RICHARD GINGELL
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1679232656- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 344 E 100 S STE 301, SALT LAKE CITY, UT, 841111727
- Phone
- (801) 428-4257
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
License: UT #12923582-6006
Social Worker, Clinical
Primary License: UT #12923582-3502