Provider Demographics
NPI:1649613746
Name:GURR, REBECCA (CSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GURR
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 N GUNSMOKE PASS
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-3008
Mailing Address - Country:US
Mailing Address - Phone:801-851-0694
Mailing Address - Fax:801-851-0694
Practice Address - Street 1:180 N GUNSMOKE PASS
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741-3008
Practice Address - Country:US
Practice Address - Phone:801-851-0694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8037811-3501104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker