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Blake Kelly Earl
Counselor in South Ogden, Utah
NPI 1578805214

Blake Kelly Earl is a Counselor based in Ogden, UT. Blake Kelly Earl practices in South Ogden, UT. The NPI Number for Blake Kelly Earl is 1578805214 and holds a License No. (Utah).

The current practice location address for Blake Kelly Earl is 5150 S. Washington Blvd., South Ogden, UT and can be reached out via phone at 801-337-0067.

Location: 5150 S. Washington Blvd., South Ogden, UT, 84414-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578805214
Provider Name
Blake Kelly Earl
Credential
Provider Entity Type
Individual
Gender
Male
Address
5150 S. Washington Blvd., South Ogden, UT, 84414-2043
Phone Number
801-337-0067
Fax Number
Provider Enumeration Date
03/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5150 S. Washington Blvd.
City
South Ogden
State
Utah
Zip
84405-4503
Phone Number
801-337-0067
Fax Number
person
Provider Business Mailing Address Details
Address
5150 S. Washington Blvd.
City
South Ogden
State
Utah
Zip
84405-4503
Phone Number
801-337-0067
Fax Number
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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