Jon M. Blackham

NPI #1275854150 in Orem, Utah

Provider Information

NPI Number: 1275854150
Entity Type: Individual
Name: Jon M. Blackham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 15, 2010
Last Updated: Jun 15, 2010

Practice Location

Address: 195 E 840 S
City: Orem
State: Utah
ZIP Code: 84058-5016
Phone: (801) 226-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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