Individual provider · Type 1 NPI

Heather Pederson

Mental Health Counselor · South Salt Lake, UT

NPI number 1972315729 Active

Practice location

331 W 2700 S
South Salt Lake, UT 84115-2904

Mailing address

1920 E Siggard Dr
Salt Lake City, UT 84106-3838

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972315729

Heather Pederson's National Provider Identifier is 1972315729, issued on Jan 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Salt Lake, UT. The record was last updated on Apr 24, 2025.