Clive Russell Hallam, LMFT
Clive Russell Hallam, LMFT is a Marriage and Family Therapist in Pueblo West, Colorado. Qualified in 2006, 20 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Colorado, Utah and Wyoming.
- Years since qualifying
- 20
- Licensed in
- CO, UT, WY
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- LMFT — Licensed Marriage and Family Therapist
- A therapist licensed to treat couples and families.
Practice location Address checks out
19 E Abarr DrPueblo West, CO 81007-5436
Phone: (435) 817-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 0001268 (CO) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence LMFT 134 (WY) |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 8971102-3902 (UT) |
Record details
| NPI number | 1811154321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMFT |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | Po Box 7425, Pueblo West, CO 81007-0425 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Sondermind Provider Network Llc — 1258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Pueblo West
-
MS. Jessica Bollman, MS, BCBA
611 E Paradise Dr, Pueblo West, CO 81007-6543 · (719) 244-6657
-
MS. Joan L. Hatcher
531 E Hahns Peak Ave, Pueblo West, CO 81007-2711 · (719) 320-3388
-
Laura Lynn Maynes Cortez, MSW
19 E Abarr Dr, Pueblo West, CO 81007-5436 · (719) 251-3363