Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina M Zupan, ACMHC

Individual provider Clinical Social Worker · NPI 1205470366

Gina M Zupan, ACMHC is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11508440-6009 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11508440-6009 (UT)

Record details

NPI number1205470366
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACMHC
Sole proprietorNo
NPI enumeratedNovember 1, 2019
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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