Provider Demographics
NPI:1790837771
Name:SCHUURMAN, RICHARD JOHN (LPC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOHN
Last Name:SCHUURMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 W. 500 S. #110
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8105
Mailing Address - Country:US
Mailing Address - Phone:801-296-0223
Mailing Address - Fax:801-296-0240
Practice Address - Street 1:545 W. 500 S. #110
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-8105
Practice Address - Country:US
Practice Address - Phone:801-296-0223
Practice Address - Fax:801-296-0240
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT138251-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional