Anick E B Malmstrom, LPC

NPI #1063524205 in Provo, Utah

Provider Information

NPI Number: 1063524205
Entity Type: Individual
Name: Anick E B Malmstrom, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 750 NORTH 200 WEST
City: Provo
State: Utah
ZIP Code: 84601
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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