Blake Trythall

NPI #1366873531 in Moroni, Utah

Provider Information

NPI Number
1366873531
Entity Type
Individual
Name
Blake Trythall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Dec 12, 2013
Last Updated
Dec 12, 2013

Practice Location

Address
2860 EAST 19500 NORTH
City
Moroni
State
Utah
ZIP Code
84646-0461
Phone
(435) 445-5200

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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