Clive Russell Hallam in Pueblo West - Marriage & Family Therapist
Clive Russell Hallam - NPI 1811154321
Clive Russell Hallam is a Marriage & Family Therapist in Pueblo West, Colorado. Clive Russell Hallam practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Clive Russell Hallam is 1811154321. The last update date is 2021-01-18.
Clive Russell Hallam's current location address is Po Box 7425, Pueblo West, Colorado. You can contact this provider via phone number 4358170155 and fax number 3078855206. The mailing address for Clive Russell Hallam is Po Box 7425, Pueblo West, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clive Russell Hallam |
|---|---|
| Address | Po Box 7425, Pueblo West, Colorado |
| Phone Number | 4358170155 |
| Fax Number | 3078855206 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1811154321 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | Po Box 7425 |
|---|---|
| City | Pueblo West |
| State | Colorado (CO) |
| Post Code | 810070425 |
| Phone Number | 4358170155 |
| Fax Number | 3078855206 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 8971102-3902 |
|
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48800074 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clive Russell Hallam by the Centers for Medicare & Medicaid Services (CMS)?
The Clive Russell Hallam has been assigned the NPI (National Provider Identifier) 1811154321. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Clive Russell Hallam's facilities are situated?
The facilities of Clive Russell Hallam are physically located at the following address: Po Box 7425, Pueblo West, CO, 810070425.
What is Clive Russell Hallam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clive Russell Hallam is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date was the 1811154321 assigned to Clive Russell Hallam?
The Clive Russell Hallam was issued its 1811154321 on 2008-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Clive Russell Hallam most recently updated or revised?
The information pertaining to Clive Russell Hallam, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-18.