Individual provider · Type 1 NPI
Mary Elise Vanderholm, CMHC
Mental Health Counselor · St. George, UT
NPI number
1518668136
Active
Practice location
1611 E 2450 S # 5A
St. George, UT 84790-6285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11866328-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1518668136
Mary Elise Vanderholm, CMHC's National Provider Identifier is 1518668136, issued on Mar 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. George, UT. The record was last updated on Mar 10, 2023.