| Connor Barham, Lmft, Pllc | |
|
3325 N University Ave Ste 275 Provo UT 84604-7415 | |
| (801) 899-3988 | |
| Not Available |
| Full Name | Connor Barham, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3325 N University Ave Ste 275, Provo, Utah |
| Authorized Official Name and Position | Connor Barham (OWNER) |
| Authorized Official Contact | 8018993988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Barham, Lmft, Pllc 270 N 1080 E Provo UT 84606-3518 Ph: (801) 708-9988 | Connor Barham, Lmft, Pllc 3325 N University Ave Ste 275 Provo UT 84604-7415 Ph: (801) 899-3988 |
| NPI Number | 1093494304 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093494304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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