Provider Demographics
NPI:1558105379
Name:TRUMP, ADAM (CMHC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:TRUMP
Suffix:
Gender:M
Credentials:CMHC
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:
Other - Last Name:TRUMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMHC
Mailing Address - Street 1:70 N MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-6115
Mailing Address - Country:US
Mailing Address - Phone:801-298-5222
Mailing Address - Fax:801-294-0295
Practice Address - Street 1:70 N MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-6115
Practice Address - Country:US
Practice Address - Phone:801-298-5222
Practice Address - Fax:801-294-0295
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12880072-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health