Individual provider · Type 1 NPI

Anick E. B. Malmstrom, LPC

Professional Counselor · Provo, UT

NPI number 1063524205 Active

Practice location

750 North 200 West
Provo, UT 84601

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3764726004 (UT)

Professional Counselor: Definition to come...

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About NPI 1063524205

Anick E. B. Malmstrom, LPC's National Provider Identifier is 1063524205, issued on Aug 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.