Individual
RICHARD EDWARD HALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 W 50 N, AMERICAN FORK, UT 84003-2265
(801) 756-3664
Mailing address
621 N 350 W, AMERICAN FORK, UT 84003-1119
(801) 492-1246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5862169-6004
UT
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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