Individual
BLAINE RINDLISBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
154 W MAIN ST, AMERICAN FORK, UT 84003-2359
(801) 360-1211
Mailing address
438 E RUE HUGO, VINEYARD, UT 84058-4500
(903) 520-9410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10272477-3904
UT
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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