DAVID HOWARTH BLACKWELL


Address: 11188 N 6000 W, Highland, UT 84003-9438
Phone: 8017567403

DAVID HOWARTH BLACKWELL (NPI# 1306067459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306067459
Entity Type Individual
Full Name DAVID HOWARTH BLACKWELL
Credential LPC, LSAC
Practice Address 11188 N 6000 W
Highland
UT 84003-9438
Practice Telephone 8017567403
Mailing Telephone 8017567403
Enumeration Date 2007-05-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
342505-6004 UT Behavioral Health & Social Service Providers

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Office Location

Street Address 11188 N 6000 W
City HIGHLAND
State UT
Zip Code 84003-9438

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City HIGHLAND
Zip Code 84003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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