Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENERRA BLAKE
ActiveGENERRA BLAKE is a Mental Health Counselor healthcare provider located in BLANDING, Utah. NPI 1902452782 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLANDING, UT
Registration Details
- NPI Number
- 1902452782
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2019 (7.0420231575731 yrs)
- Last Updated
- Aug 16, 2019
Practice Information
- Address
-
735 S 200 W STE 1BLANDING, UT, 845113923Browse UT providers · Browse ZIP 84511
- Phone
- 4356782992
- Fax
- 4356783116
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BLANDING, UT
| Name | Credential | NPI |
|---|---|---|
| TRAVIS BLACK | — | 1356997134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.