Mark Blain
Counselor in Mona, UT. Individual provider (NPI-1).
NPI number1962823799
StatusActive
Last updated in NPPESDec 20, 2013
Details
- NPI
- 1962823799
- Entity type
- Individual (NPI-1)
- Name
- Mark Blain
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2013
- Last updated
- Dec 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
525 W 200 NMona, UT 84645
Phone 435-623-2825 · Fax 435-623-2827
Mailing address
619 N 500 WProvo, UT 84601-1547
Phone 801-375-4240 · Fax 801-375-4241
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 47 Counselor providers in Mona · All 51 providers in Mona
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