Provider Demographics
NPI:1508008707
Name:HARRAH, DANIEL (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HARRAH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4599 S SUN TREE DR
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-3723
Mailing Address - Country:US
Mailing Address - Phone:801-330-1763
Mailing Address - Fax:
Practice Address - Street 1:370 S 500 E STE 170
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-4027
Practice Address - Country:US
Practice Address - Phone:801-603-2547
Practice Address - Fax:801-649-0964
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT266305-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical