MEDICARE: JAMES LAMM CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	8449120-6004	UT

General Provider Information

NPI Number	:	1952707069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES LAMM CMHC

Provider Business Mailing Address
First Line	:	724 S 1600 W
Second Line	:	SUITE 204
City	:	MAPLETON
State	:	UT
Zip	:	84664-4347
Country	:	US
Telephone Number	:	385-335-5837
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 S 1600 W
Second Line	:	SUITE 204
City	:	MAPLETON
State	:	UT
Zip	:	84664-4347
Country	:	US
Telephone Number	:	385-335-5837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	03/23/2015

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