Provider Demographics
NPI:1245672880
Name:DAHLE, HOWARD FRANKLIN (MS, CMHC)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:FRANKLIN
Last Name:DAHLE
Suffix:
Gender:M
Credentials:MS, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12093 S POND RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8716
Mailing Address - Country:US
Mailing Address - Phone:801-718-6441
Mailing Address - Fax:
Practice Address - Street 1:675 E 500 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2818
Practice Address - Country:US
Practice Address - Phone:801-938-9268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5095471-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health