Individual provider · Type 1 NPI

Mallory Demotte, LCMHC

Mental Health Counselor · South Jordan, UT

NPI number 1750992616 Active

Practice location

1258 W South Jordan Pkwy
South Jordan, UT 84095-4711

Call (801) 255-1155 Map

Mailing address

3228 W Rolling Creek Way
South Jordan, UT 84095-9380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12386010-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1750992616

Mallory Demotte, LCMHC's National Provider Identifier is 1750992616, issued on Aug 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Jordan, UT. The record was last updated on Dec 27, 2023.