Individual
HEATHER JOY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
974 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1413
(801) 533-0070
Mailing address
1450 SOUTH WEST TEMPLE, APT F 304, SALT LAKE CITY, UT 84115-5386
(801) 577-8842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7101574-6006
UT
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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