Individual
MRS. JAN MARIE MALMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7321 SOUTH STATE STREET, SUITE A, MIDVALE, UT 84047-6105
(801) 878-4327
(801) 878-9280
Mailing address
7321 SOUTH STATE STREET, SUITE A, MIDVALE, UT 84047-6105
(801) 878-4327
(801) 878-9280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4905206-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11627987
CAQH
UT
Enumeration date
12/23/2006
Last updated
07/30/2026
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