Individual
WILLIAM BLAKE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.F.T.
Contact information
Practice address
575 EAST 100 SOUTH, PRICE, UT 84501
(435) 637-2358
(435) 637-9141
Mailing address
PO BOX 867, PRICE, UT 84501-0867
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10822129-3902
UT
106H00000X
Marriage & Family Therapist
MFC46551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC46551
BBS
CA
Enumeration date
01/31/2008
Last updated
09/21/2018
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