RUSSELL CLIFFORD GAEDE

PROVO, UT
NPI1225197759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: UT  268792-6004)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
Dr. RUSSELL CLIFFORD GAEDE Psy.D., LPC
1835 N 1120 W
PROVO, UT 84604-1180
Phone number: 801-623-4770
Mailing Address
Dr. RUSSELL CLIFFORD GAEDE Psy.D., LPC
PO BOX 1001
SPANISH FORK, UT 84660-7001
Phone number: 801-623-4770