Individual provider · Type 1 NPI
Marie Blazzard, LSAC
Addiction (Substance Use Disorder) Counselor · St. George, UT
NPI number
1457490179
Active
Practice location
474 W 200 N, Suite 200
St. George, UT 84770-4505
Fax (435) 986-8700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5125932-6006 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457490179
Marie Blazzard, LSAC's National Provider Identifier is 1457490179, issued on Feb 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. George, UT. The record was last updated on Jul 8, 2007.