Provider Demographics
NPI:1316120678
Name:HUGHES, ANTHONY ALLEN (LMFT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ALLEN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 S 100 W
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2618
Mailing Address - Country:US
Mailing Address - Phone:801-422-7633
Mailing Address - Fax:801-422-0165
Practice Address - Street 1:48 S 100 W
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2618
Practice Address - Country:US
Practice Address - Phone:801-422-7633
Practice Address - Fax:801-422-0165
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT356326-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist