Organization
BLACKFOOT CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD T JENSEN LCMHC (OFFICER/OWNER)
(801) 791-5041
Entity
Organization
Contact information
Practice address
955 28TH ST, OGDEN, UT 84403-0258
(385) 244-1470
(385) 244-1499
Mailing address
955 28TH ST, OGDEN, UT 84403-0258
(385) 244-1470
(385) 244-1499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346659737
NPI
UT
Enumeration date
12/29/2016
Last updated
12/29/2016
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