Search › Utah › 253J00000X
Blake Altom, M.S., MFT INTERN
NPI 1255657201 · on the registry since 2010 · sole proprietor
Practice
- Address
- 242 Rosewood Cir
Logan, UT 84321 - Phone
- (435) 512-1304
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Also registered as
- 106H00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah