Individual
LORI A HALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3707 E SOUTHERN AVE STE 1055, MESA, AZ 85206-6205
(480) 859-0322
Mailing address
3707 E SOUTHERN AVE STE 1055, MESA, AZ 85206-6205
(480) 859-0322
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0015202
AZ
Other
Enumeration date
10/10/2006
Last updated
09/09/2021
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