Individual
HEATHER ALLISON MALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 NORTH HIDDEN VALLEY ROAD, LEEDS, UT 84746
(702) 275-5305
Mailing address
PO BOX 461224, LEEDS, UT 84746-1224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
139725756004
UT
101YM0800X
Mental Health Counselor
Primary
CP0213
NV
101YM0800X
Mental Health Counselor
LPC19395
AZ
Other
Enumeration date
01/08/2015
Last updated
08/04/2025
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