Individual provider · Type 1 NPI

George Alva Blackburn, CMHC

Mental Health Counselor · Tooele, UT

NPI number 1467759514 Active

Practice location

134 W 1180 N
Tooele, UT 84074-1483

Call (435) 228-4181 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6672674-6004 (UT)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1467759514

George Alva Blackburn, CMHC's National Provider Identifier is 1467759514, issued on Feb 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tooele, UT. The record was last updated on Jul 22, 2015.