Individual
HEIDI PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11273 S GRANDVILLE AVE APT K323, SOUTH JORDAN, UT 84009-1934
(801) 599-9132
Mailing address
11273 S GRANDVILLE AVE APT K323, SOUTH JORDAN, UT 84009-1934
(801) 599-9132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95440686009
UT
101YM0800X
Mental Health Counselor
Primary
96149
TX
101YM0800X
Mental Health Counselor
Y6536080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y6536080
—
CA
Enumeration date
11/19/2020
Last updated
01/16/2025
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