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Blake Trythall
Mental Health Counselor in Moroni, Utah
NPI 1366873531

Blake Trythall is a Mental Health Counselor based in Moroni, UT and is specialized in Mental Health. Blake Trythall practices in Moroni, UT. The NPI Number for Blake Trythall is 1366873531 and holds a License No. (Utah).

The current practice location address for Blake Trythall is 2860 East 19500 North, Moroni, UT and can be reached out via phone at 435-445-5200 and via fax at 435-445-5201.

Location: 2860 East 19500 North, Moroni, UT, 84646-0461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366873531
Provider Name
Blake Trythall
Credential
Provider Entity Type
Individual
Gender
Male
Address
2860 East 19500 North, Moroni, UT, 84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
Provider Enumeration Date
12/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235458555 05 UT
institution
Provider Business Practice Location Address Details
Address
2860 East 19500 North
City
Moroni
State
Utah
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider Business Mailing Address Details
Address
2860 East 19500 North
City
Moroni
State
Utah
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Utah)
Definition
Definition to come...
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