person
Mr. George Alva Blackburn, CMHC
Mental Health Counselor in Tooele, Utah
NPI 1467759514

George Alva Blackburn is a Mental Health Counselor based in Tooele, UT and is specialized in Mental Health. George Alva Blackburn practices in Tooele, UT and has the professional credentials of CMHC. The NPI Number for George Alva Blackburn is 1467759514 and holds a License No. 6672674-6004 (Utah).

The current practice location address for George Alva Blackburn is 134 W 1180 N, Tooele, UT and can be reached out via phone at 435-228-4181.

Location: 134 W 1180 N, Tooele, UT, 84074-1483
person
Provider Profile Details
NPI Number
1467759514
Provider Name
George Alva Blackburn
Credential
CMHC
Provider Entity Type
Individual
Gender
Male
Address
134 W 1180 N, Tooele, UT, 84074-1483
Phone Number
435-228-4181
Fax Number
Provider Enumeration Date
02/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 W 1180 N
City
State
Zip
84074-1483
Phone Number
435-228-4181
Fax Number
person
Provider Business Mailing Address Details
Address
134 W 1180 N
City
State
Zip
84074-1483
Phone Number
435-228-4181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6672674-6004 (Utah)
Definition
Definition to come...
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