Individual
CHRISTINA ELENI MALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CMHC, LASUDC
Contact information
Practice address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7000
Mailing address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9166634-6008
UT
101YM0800X
Mental Health Counselor
9166634-6004
UT
363A00000X
Physician Assistant
Primary
9166634-1206
UT
Other
Enumeration date
04/21/2015
Last updated
03/04/2024
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