Individual
DAVID C HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1760 N MAIN ST, SUITE 209, CEDAR CITY, UT 84721-7775
(435) 680-1316
Mailing address
338 W 900 N, CEDAR CITY, UT 84721-4120
(435) 865-1670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
341120-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341120-3501
STATE LICENSE
UT
Enumeration date
01/31/2007
Last updated
01/06/2014
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