Blake Thomas Halliday, LMFT

NPI #1710068473 in Riverdale, Utah

Provider Information

NPI Number
1710068473
Entity Type
Individual
Name
Blake Thomas Halliday, LMFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
Oct 18, 2006
Last Updated
Jan 4, 2010

Practice Location

Address
5149 S 1500 W
State
Utah
ZIP Code
84405-3926
Phone
(801) 475-0402

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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