Provider Demographics
NPI:1952707069
Name:LAMM, JAMES (CMHC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LAMM
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 S 1600 W
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MAPLETON
Mailing Address - State:UT
Mailing Address - Zip Code:84664-4347
Mailing Address - Country:US
Mailing Address - Phone:385-335-5837
Mailing Address - Fax:
Practice Address - Street 1:724 S 1600 W
Practice Address - Street 2:SUITE 204
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-4347
Practice Address - Country:US
Practice Address - Phone:385-335-5837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8449120-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health