Individual provider · Type 1 NPI

Jon M. Blackham

Counselor · Orem, UT

NPI number 1275854150 Active

Practice location

195 E 840 S
Orem, UT 84058-5016

Fax (801) 225-7053

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 1275854150

Jon M. Blackham's National Provider Identifier is 1275854150, issued on Jun 15, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Orem, UT. The record was last updated on Jun 15, 2010.