Sarah Anne Blotter, LAMFT

Individual provider Active NPI Marriage & Family Therapist · Logan, UT

NPI 1033874003 · NPPES record last updated Nov 4, 2021

Key facts

NPI
1033874003
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
11025626-3904 (UT)
Practice address
273 W 1010 S
Logan, UT 84321-6935
Phone
(801) 871-5118
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11025626-3904UTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11025626-3904 UT Yes

Addresses

Primary practice location

273 W 1010 S
Logan, UT 84321-6935

Mailing address

206 Oak Valley CT
Vacaville, CA 95687-5195
Phone (801) 706-2811

Other identifiers

IdentifierTypeStateIssuer
11025626-3904OtherUTUTAH DEPARTMENT OF COMMERCE, DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sarahn@cfamilywellness.com Direct

Other providers in Logan, UT

All providers in Logan, UT · Marriage & Family Therapist in Utah

Sources for this page

Verify at the official NPI Registry.