Individual
HEATHER BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC, BCBA
Contact information
Practice address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 682-7147
Mailing address
209 E GORDON AVE, LAYTON, UT 84041-2341
(801) 682-7147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8154268-6004
UT
Other
Enumeration date
01/23/2014
Last updated
04/23/2021
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