Individual
COLLEEN DORIS KLEINBERG PELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2360 S 450 E, HEBER CITY, UT 84032-4800
(484) 225-0617
Mailing address
2360 S 450 E, HEBER CITY, UT 84032-4800
(484) 225-0617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW68862
CA
1041C0700X
Clinical Social Worker
13269672-3501
UT
1041C0700X
Clinical Social Worker
Primary
CW020178
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132696723501
LCSW
UT
01
—
CW020178
LCSW LICENSE NUMBER
PA
Enumeration date
05/18/2017
Last updated
02/09/2026
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