Altom, Blake Denver

Altom, Blake Denver is an sole proprietor health care provider with primary practice located at 242 Rosewood Cir , Logan UT 84321-5045. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Altom, Blake Denver can be contacted via phone (435) 512-1304.

Contact Information

Primary practice address
242 Rosewood Cir Logan UT 84321-5045
Phone: (435) 512-1304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 7195889-3904 Utah
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1255657201
LBN Legal business name Altom, Blake Denver
Credentials M.S., MFT INTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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