Individual
DR. HEATHER JEAN AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT, LPC
Contact information
Practice address
1109 N 250 W, LAYTON, UT 84041-5840
(270) 361-1000
Mailing address
1109 N 250 W, LAYTON, UT 84041-5840
(270) 361-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7981205-6004
UT
106H00000X
Marriage & Family Therapist
Primary
7981025-3902
UT
Other
Enumeration date
03/15/2007
Last updated
07/31/2014
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