Russell Clifford Gaede, PSYD, LPC
Russell Clifford Gaede, PSYD, LPC is a Mental Health Counselor in Provo, Utah. Qualified in 2004, 22 years ago. Licensed in Utah.
- Years since qualifying
- 22
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
1835 N 1120 WProvo, UT 84604-1180
Phone: (801) 623-4770
Fax: (801) 623-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 268792-6004 (UT) |
|---|
Record details
| NPI number | 1225197759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYD , LPC |
| Sole proprietor | No |
| NPI enumerated | December 8, 2006 |
| Last updated in NPPES | April 27, 2026 |
| Certification date | April 27, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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