Individual
AMY BLUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1742 ROSS DR, OGDEN, UT 84403-3242
(801) 644-0981
Mailing address
1145 E 4600 S STE 150534, OGDEN, UT 84403-3079
(801) 644-0981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9511459-6004
UT
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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