Individual
SARAH ANNE BLOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
273 W 1010 S, LOGAN, UT 84321-6935
(801) 871-5118
Mailing address
206 OAK VALLEY CT, VACAVILLE, CA 95687-5195
(801) 706-2811
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11025626-3904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11025626-3904
UTAH DEPARTMENT OF COMMERCE, DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
Enumeration date
11/04/2021
Last updated
11/04/2021
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