person
Generra Blake
Mental Health Counselor in Blanding, Utah
NPI 1902452782

Generra Blake is a Mental Health Counselor based in Blanding, UT and is specialized in Mental Health. Generra Blake practices in Blanding, UT. The NPI Number for Generra Blake is 1902452782 and holds a License No. (Utah).

The current practice location address for Generra Blake is 735 S 200 W Ste 1, Blanding, UT and can be reached out via phone at 435-678-2992 and via fax at 435-678-3116.

Location: 735 S 200 W Ste 1, Blanding, UT, 84511-3923
person
Provider Profile Details
NPI Number
1902452782
Provider Name
Generra Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
735 S 200 W Ste 1, Blanding, UT, 84511-3923
Phone Number
435-678-2992
Fax Number
435-678-3116
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
735 S 200 W Ste 1
City
State
Zip
84511-3923
Phone Number
435-678-2992
Fax Number
435-678-3116
person
Provider Business Mailing Address Details
Address
735 S 200 W Ste 1
City
State
Zip
84511-3923
Phone Number
435-678-2992
Fax Number
435-678-3116
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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