Individual
HEIDI MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
23077 THREE NOTCH RD STE 302, CALIFORNIA, MD 20619-2453
(719) 291-9592
Mailing address
44554 RIVER OTTER DR, CALIFORNIA, MD 20619-7110
(719) 291-9592
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM629
MD
106H00000X
Marriage & Family Therapist
MFT.0001206
CO
171M00000X
Case Manager/Care Coordinator
13393
CO
Other
Enumeration date
12/20/2013
Last updated
01/21/2023
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