Kayla Marie Heritage, SSW
Counselor in Layton, UT. Individual provider (NPI-1).
NPI number1447005665
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1447005665
- Entity type
- Individual (NPI-1)
- Name
- Kayla Marie Heritage
- Credential
- SSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2024
- Certification date
- Apr 21, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
880 Heritage Park Blvd Ste 130Layton, UT 84041-5674
Phone 801-931-9980
Mailing address
1466 Banbury DrSyracuse, UT 84075-9487
Phone 801-931-9989
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