Individual
MS. BLYTHE DOLORES UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
120 SW 4TH ST STE 130, CORVALLIS, OR 97333-4792
(541) 357-3157
Mailing address
376 NE PLYMOUTH CIR, CORVALLIS, OR 97330-4168
(541) 357-3157
(541) 585-1156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C11306
OR
101YP2500X
Professional Counselor
Primary
R11908
OR
106H00000X
Marriage & Family Therapist
R8509
OR
Other
Enumeration date
06/30/2023
Last updated
06/17/2026
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