Individual
BRUCE K. FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3051 W MAPLE LOOP DR STE 210, LEHI, UT 84043-4602
(801) 872-5516
(801) 872-5516
Mailing address
5965 S 900 E STE 100, MURRAY, UT 84121-1850
(801) 872-5516
(801) 212-9942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140784-6004
UT
101YP2500X
Professional Counselor
140784-6004
UT
Other
Enumeration date
04/25/2007
Last updated
04/12/2023
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