Individual
HEATHER SEVERN CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
275 E SOUTH TEMPLE STE 101, SALT LAKE CITY, SALT LAKE CITY, UT 84111-1243
(801) 505-1332
Mailing address
275 E SOUTH TEMPLE, SALT LAKE CITY, SALT LAKE CITY, UT 84111-1247
(801) 505-1332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6024101-3902
UT
Other
Enumeration date
04/26/2006
Last updated
08/16/2011
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