MEDICARE: KRISTINA HELLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	14239193-3502	UT

General Provider Information

NPI Number	:	1912865403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA HELLAND

Provider Business Mailing Address
First Line	:	3478 S PLAZA WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4125
Country	:	US
Telephone Number	:	801-822-9781
Fax Number	:

Provider Business Practice Location Address
First Line	:	3478 S PLAZA WAY
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84109-4125
Country	:	US
Telephone Number	:	801-822-9781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ KRISTINA HELLAND ” Practice Location

Language	Start Address	Practice Location

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