Provider Demographics
NPI:1013311406
Name:HOWLING-DUNHAM, TALIA BRIANNA (CMHC)
Entity Type:Individual
Prefix:
First Name:TALIA
Middle Name:BRIANNA
Last Name:HOWLING-DUNHAM
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 HARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1228
Mailing Address - Country:US
Mailing Address - Phone:801-621-3901
Mailing Address - Fax:801-621-3991
Practice Address - Street 1:3375 HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1228
Practice Address - Country:US
Practice Address - Phone:801-621-3901
Practice Address - Fax:801-621-3991
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7120877-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health