Colton Lamont Blackham, in Moroni, UT - Counselor

Colton Lamont Blackham, is a Counselor based in Moroni, Utah. Colton Lamont Blackham is licensed to practice in Utah (license number ) and his current practice location is 21260 N 1450 E, Moroni, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 445-5200.

NPI number for Colton Lamont Blackham is 1073809984 and his current mailing address is Po Box 461, 21260 N 1450 E, Moroni, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073809984.

Contact Information

	Colton Lamont Blackham,
	21260 N 1450 E, Moroni, UT 84646-0461
	(435) 445-5200
	(435) 445-5201

Healthcare Provider's Profile

Full Name	Colton Lamont Blackham
Gender	Male
Speciality	Counselor
Location	21260 N 1450 E, Moroni, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073809984
Provider Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011

Medical Identifiers

Medical identifiers for Colton Lamont Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073809984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colton Lamont Blackham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Colton Lamont Blackham, Po Box 461, 21260 N 1450 E, Moroni, UT 84646-0461 Ph: (435) 445-5200	Colton Lamont Blackham, 21260 N 1450 E, Moroni, UT 84646-0461 Ph: (435) 445-5200

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Counselor in Moroni, UT

Zackary Allred, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N. 1450 E., Moroni, UT 84646 Phone: 435-445-5206
Calvin Baird, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-851-6821
Greg Morley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-851-6821
Nathan Miner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2860 E 19500 N, Moroni, UT 84646 Phone: 435-436-9029 Fax: 435-445-5201
Mark Puett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21360 North 1450 East, Moroni, UT 84646 Phone: 435-445-5200 Fax: 435-445-5201
Merrill Eldon Barnes, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 21260 N. 1450 E., Moroni, UT 84646 Phone: 435-851-6821

Colton Lamont Blackham, - Counselor in Moroni, UT