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Jon M. Blackham
Counselor in Orem, Utah
NPI 1275854150

Jon M. Blackham is a Counselor based in Orem, UT. Jon M. Blackham practices in Orem, UT. The NPI Number for Jon M. Blackham is 1275854150 and holds a License No. (Utah).

The current practice location address for Jon M. Blackham is 195 E 840 S, Orem, UT and can be reached out via phone at 801-226-7696 and via fax at 801-225-7053. You can also correspond with Jon M. Blackham through the mailing address at 195 E 840 S, OREM, UT - 84058-5016 (mailing address contact number: 801-226-7696).

Location: 195 E 840 S, Orem, UT, 84058-5016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275854150
Provider Name
Jon M. Blackham
Credential
Provider Entity Type
Individual
Gender
Male
Address
195 E 840 S, Orem, UT, 84058-5016
Phone Number
801-226-7696
Fax Number
801-225-7053
Provider Enumeration Date
06/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
195 E 840 S
City
Orem
State
Utah
Zip
84058-5016
Phone Number
801-226-7696
Fax Number
801-225-7053
person
Provider Business Mailing Address Details
Address
195 E 840 S
City
Orem
State
Utah
Zip
84058-5016
Phone Number
801-226-7696
Fax Number
801-225-7053
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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