person
Mrs. Jan Marie Malmberg, LPC
Professional Counselor in Salt Lake City, Utah
NPI 1225193998

Jan Marie Malmberg is a Professional Counselor based in Sandy, UT and is specialized in Professional. Jan Marie Malmberg practices in Salt Lake City, UT and has the professional credentials of LPC. The NPI Number for Jan Marie Malmberg is 1225193998 and holds a License No. 4905206-6004 (Utah).

The current practice location address for Jan Marie Malmberg is 4214 S 500 W, Salt Lake City, UT and can be reached out via phone at 801-859-3523.

Location: 4214 S 500 W, Salt Lake City, UT, 84093-1039
person
Provider Profile Details
NPI Number
1225193998
Provider Name
Jan Marie Malmberg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4214 S 500 W, Salt Lake City, UT, 84093-1039
Phone Number
801-859-3523
Fax Number
Provider Enumeration Date
12/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11627987 01 UT CAQH
institution
Provider Business Practice Location Address Details
Address
4214 S 500 W
City
State
Zip
84123-1336
Phone Number
801-859-3523
Fax Number
person
Provider Business Mailing Address Details
Address
4214 S 500 W
City
State
Zip
84123-1336
Phone Number
801-859-3523
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4905206-6004 (Utah)
Definition
Definition to come...
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