COLTON BLACKHAM
Counselor
Active
Individual
NPI: 1073809984
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1073809984 is the National Provider Identifier for COLTON BLACKHAM, a Counselor provider located in Moroni, UT. This NPI was enumerated on June 20, 2011.
COLTON BLACKHAM practices at 21260 N 1450 E, Moroni, UT 84646.
Quick Facts
- NPI
- 1073809984
- Type
- Individual
- Enumerated
- Jun 20, 2011
- Last Updated
- Jun 20, 2011
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