Provider Demographics
NPI:1215224597
Name:HALFORD, GREGORY JOHN (MA LMHC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JOHN
Last Name:HALFORD
Suffix:
Gender:M
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7817 224TH ST. CT. EAST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-6526
Mailing Address - Country:US
Mailing Address - Phone:253-267-8190
Mailing Address - Fax:
Practice Address - Street 1:7817 224TH STREET CT E
Practice Address - Street 2:SUITE 1
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-6526
Practice Address - Country:US
Practice Address - Phone:253-267-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004371101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health