Individual
KRISTI LYNN HEISTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 E RIVERSIDE DR STE B, ST GEORGE, UT 84790-4749
(435) 862-8273
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8969585-6004
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
06/07/2019
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