Individual provider · Type 1 NPI

Colton Lamont Blackham

Counselor · Moroni, UT

NPI number 1073809984 Active

Practice location

21260 N 1450 E
Moroni, UT 84646-0461

Call (435) 445-5200 Map

Fax (435) 445-5201

Mailing address

PO Box 461, 21260 N 1450 E
Moroni, UT 84646-0461

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1073809984

Colton Lamont Blackham's National Provider Identifier is 1073809984, issued on Jun 20, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moroni, UT. The record was last updated on Jun 20, 2011.