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Mr. Blake Denver Altom, MS,MFTINTERN
Foster Care Agency in Logan, Utah
NPI 1255657201

Blake Denver Altom is a Foster Care Agency based in Logan, UT. Blake Denver Altom practices in Logan, UT and has the professional credentials of MS,MFTINTERN. The NPI Number for Blake Denver Altom is 1255657201 and holds a License No. 7195889-3904 (Utah).

The current practice location address for Blake Denver Altom is 242 Rosewood Cir, Logan, UT and can be reached out via phone at 435-512-1304. You can also correspond with Blake Denver Altom through the mailing address at 242 ROSEWOOD CIR, LOGAN, UT - 84321-5045 (mailing address contact number: 435-512-1304).

Location: 242 Rosewood Cir, Logan, UT, 84321-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255657201
Provider Name
Blake Denver Altom
Credential
MS,MFTINTERN
Provider Entity Type
Individual
Gender
Male
Address
242 Rosewood Cir, Logan, UT, 84321-5045
Phone Number
435-512-1304
Fax Number
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
242 Rosewood Cir
City
Logan
State
Utah
Zip
84321-5045
Phone Number
435-512-1304
Fax Number
person
Provider Business Mailing Address Details
Address
242 Rosewood Cir
City
Logan
State
Utah
Zip
84321-5045
Phone Number
435-512-1304
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
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Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
7195889-3904 (Utah)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
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