Individual
MISS MALISSA ANNE MORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ATR-BC
Contact information
Practice address
1220 E VINE ST, SALT LAKE CITY, UT 84121-1738
(801) 875-0312
Mailing address
1220 E VINE ST, SALT LAKE CITY, UT 84121-1738
(801) 875-0312
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8470183-3902
UT
106H00000X
Marriage & Family Therapist
MFC 47656
CA
Other
Enumeration date
03/19/2007
Last updated
09/11/2013
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