person
Marie Blazzard, LSAC
Addiction (Substance Use Disorder) Counselor in St George, Utah
NPI 1457490179

Marie Blazzard is an Addiction (Substance Use Disorder) Counselor based in St George, UT and is specialized in Addiction (Substance Use Disorder). Marie Blazzard practices in St George, UT and has the professional credentials of LSAC. The NPI Number for Marie Blazzard is 1457490179 and holds a License No. 5125932-6006 (Utah).

The current practice location address for Marie Blazzard is 474 W 200 N, St George, UT and can be reached out via phone at 435-634-5600 and via fax at 435-986-8700.

Location: 474 W 200 N, St George, UT, 84770-4505
person
Provider Profile Details
NPI Number
1457490179
Provider Name
Marie Blazzard
Credential
LSAC
Provider Entity Type
Individual
Gender
Female
Address
474 W 200 N, St George, UT, 84770-4505
Phone Number
435-634-5600
Fax Number
435-986-8700
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5125932-6006 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
474 W 200 N
City
State
Zip
84770-4505
Phone Number
435-634-5600
Fax Number
435-986-8700
person
Provider Business Mailing Address Details
Address
474 W 200 N
City
State
Zip
84770-4505
Phone Number
435-634-5600
Fax Number
435-986-8700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5125932-6006 (Utah)
Definition
Definition to come...
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