Blackburn, George Alva

Blackburn, George Alva is an individual health care provider with primary practice located at 134 W 1180 N , Tooele UT 84074-1483. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Blackburn, George Alva can be contacted via phone (435) 228-4181.

Contact Information

Primary practice address
134 W 1180 N Tooele UT 84074-1483
Phone: (435) 228-4181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6672674-6004 Utah

Profile Details

NPI number 1467759514
LBN Legal business name Blackburn, George Alva
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2011
Last updated Jul 22nd, 2015 - about 10 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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