Individual
BLU RYAN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.H.C
Contact information
Practice address
1875 S STATE ST STE T500, OREM, UT 84097-8090
(801) 319-7170
Mailing address
1219 TOWN AND COUNTRY RD, SPRINGVILLE, UT 84663-3220
(801) 319-7170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5715062
UT
101YM0800X
Mental Health Counselor
5715062-6004
UT
101YM0800X
Mental Health Counselor
Primary
715062-6004
UT
Other
Enumeration date
03/31/2011
Last updated
01/10/2023
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