Organization
BLACKRIVER CONSULTING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ALAN ROBERTSON L.C.S.W. (PRESIDENT)
(801) 596-0147
Entity
Organization
Contact information
Practice address
5801 FASHION BLVD, SUITE 250, MURRAY, UT 84107-6159
(801) 596-0147
(801) 716-4049
Mailing address
5801 FASHION BLVD, SUITE 250, MURRAY, UT 84107-6159
(801) 596-0147
(801) 716-4049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
139307-3501
UT
Other
Enumeration date
01/23/2009
Last updated
03/09/2011
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