Individual
MRS. DIANNE FARRELL HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 KOMAS DR, SUITE 217-A, SALT LAKE CITY, UT 84108-1215
(801) 581-6250
(801) 585-5845
Mailing address
2366 SUNNYSIDE AVE, SALT LAKE CITY, UT 84108-1449
(801) 583-5044
(801) 585-5845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140233-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140233-3501
L.C.S.W.
UT
Enumeration date
01/29/2007
Last updated
07/08/2007
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