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Clive Russell Hallam, LMFT
Marriage & Family Therapist in Pueblo West, Colorado
NPI 1811154321

Clive Russell Hallam is a Marriage & Family Therapist based in Pueblo West, CO. Clive Russell Hallam practices in Pueblo West, CO and has the professional credentials of LMFT. The NPI Number for Clive Russell Hallam is 1811154321 and holds a License No. LMFT 134 (Colorado).

The current practice location address for Clive Russell Hallam is 19 E Abarr Dr, Pueblo West, CO and can be reached out via phone at 435-817-0155.

Location: 19 E Abarr Dr, Pueblo West, CO, 81007-0425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811154321
Provider Name
Clive Russell Hallam
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
19 E Abarr Dr, Pueblo West, CO, 81007-0425
Phone Number
435-817-0155
Fax Number
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48800074 05 CO
institution
Provider Business Practice Location Address Details
Address
19 E Abarr Dr
City
Pueblo West
State
Colorado
Zip
81007-5436
Phone Number
435-817-0155
Fax Number
person
Provider Business Mailing Address Details
Address
19 E Abarr Dr
City
Pueblo West
State
Colorado
Zip
81007-5436
Phone Number
435-817-0155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8971102-3902 (Utah)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LMFT 134 (Wyoming)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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