Individual
LACEY HEINZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
228 S 100 W, CEDAR CITY, UT 84720-3222
(906) 361-9557
Mailing address
228 S 100 W, CEDAR CITY, UT 84720-3222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10812746-6004
UT
106H00000X
Marriage & Family Therapist
Primary
10812746-3902
UT
Other
Enumeration date
05/04/2015
Last updated
01/31/2025
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