IndividualActive
Jacob Gossner, LAMFT
NPI 1376288043 · Marriage & Family Therapist · Logan, UT
Provider details
- NPI number
- 1376288043
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LAMFT
- Sex
- Male
- Sole proprietor
- No
- License
- 12745274-3904 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
175 W 1400 N Ste a
Logan, UT 84341-6816
Phone: (435) 752-5302
Approximate (ZIP-level) locationGet directions
Mailing address
1475 N 420 W Apt 101
Logan, UT 84341-4068
Registry dates
- Enumerated
- 2022-04-28
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.