Individual
BRETT BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
140 W 2100 S STE 244, SALT LAKE CITY, UT 84115-1980
(385) 231-8387
(801) 660-2474
Mailing address
140 W 2100 S STE 244, SALT LAKE CITY, UT 84115-1980
(385) 231-8387
(801) 660-2474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8716801-6004
UT
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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