David Howarth Blackwell, LPC, LSAC
Individual provider Active NPI Professional Counselor · Highland, UT
NPI 1306067459 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306067459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 342505-6004 (UT)
- Practice address
- 11188 N 6000 W
Highland, UT 84003-9438 - Phone
- (801) 756-7403
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342505-6004 | UT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 342505-6004 | UT | Yes |
Addresses
Primary practice location
11188 N 6000 W
Highland, UT 84003-9438
Mailing address
11188 N 6000 W
Highland, UT 84003-9438
Phone (801) 756-7403
Other providers in Highland, UT
- Christopher James Bates
- Paulette T Benson
- Katherine Biggs
- Alyssa Nicole Black
- Melinda Rae Viktoria Black
- Blue Cherries II LLC
- Blue Pine Ai LLC
- Don Rees Boren
- Jeanne Marie Borget
- John Charles Brailsford Sr.
All providers in Highland, UT · Professional Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.