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Nicole Lavonne Malstrom
Counselor in Ephraim, Utah
NPI 1043813090

Nicole Lavonne Malstrom is a Counselor based in Ephraim, UT. Nicole Lavonne Malstrom practices in Ephraim, UT. The NPI Number for Nicole Lavonne Malstrom is 1043813090 and holds a License No. (Utah).

The current practice location address for Nicole Lavonne Malstrom is 68 N 180 W, Ephraim, UT and can be reached out via phone at 435-283-9932 and via fax at 435-283-4920.

Location: 68 N 180 W, Ephraim, UT, 84627-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043813090
Provider Name
Nicole Lavonne Malstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
68 N 180 W, Ephraim, UT, 84627-2130
Phone Number
435-283-9932
Fax Number
435-283-4920
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
68 N 180 W
City
Ephraim
State
Utah
Zip
84627-2130
Phone Number
435-283-9932
Fax Number
435-283-4920
person
Provider Business Mailing Address Details
Address
68 N 180 W
City
Ephraim
State
Utah
Zip
84627-2130
Phone Number
435-283-9932
Fax Number
435-283-4920
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Utah)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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