Nathan Haslam, CMHC - Counselor in Salt Lake City, UT

Nathan Haslam, CMHC is a Counselor - Mental Health based in Salt Lake City, Utah. Nathan Haslam is licensed to practice in Utah (license number 4892548-6004) and his current practice location is 636 E Roosevelt Ave, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 644-6367.

NPI number for Nathan Haslam is 1437750262 and his current mailing address is 636 E Roosevelt Ave, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437750262.

Contact Information

Nathan Haslam, CMHC
636 E Roosevelt Ave,
Salt Lake City, UT 84105-2121
(801) 644-6367
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameNathan Haslam
GenderMale
SpecialityCounselor - Mental Health
Location636 E Roosevelt Ave, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437750262
  • Provider Enumeration Date: 11/06/2020
  • Last Update Date: 08/15/2022

Medical Identifiers

Medical identifiers for Nathan Haslam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437750262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 4892548-6004 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Haslam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nathan Haslam, CMHC
636 E Roosevelt Ave,
Salt Lake City, UT 84105-2121

Ph: (801) 644-6367
Nathan Haslam, CMHC
636 E Roosevelt Ave,
Salt Lake City, UT 84105-2121

Ph: (801) 644-6367

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