Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLIVE RUSSELL HALLAM, LMFT
Active Sole ProprietorMarriage & Family Therapist · PUEBLO WEST, CO
Registration Details
- NPI Number
- 1811154321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2008 (17.928567221247 yrs)
- Last Updated
- Jan 18, 2021
- Licenses
-
LMFT 134 (WY)8971102-3902 (UT)0001268 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 E ABARR DRPUEBLO WEST, CO, 810075436Browse CO providers · Browse ZIP 81007
- Phone
- 4358170155
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in PUEBLO WEST, CO
| Name | Credential | NPI |
|---|---|---|
| GLENN J ANDERSON | — | 1730854993 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.