Individual
MARY ELISE VANDERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1611 E 2450 S # 5A, ST GEORGE, UT 84790-6285
(435) 227-5506
Mailing address
1611 E 2450 S # 5A, ST GEORGE, UT 84790-6285
(435) 227-5506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11866328-6004
UT
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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