Individual
CHANNAE NOEL HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 355-2846
Mailing address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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