Mr George Alva Blackburn, CMHC - Counselor in Tooele, UT

Mr George Alva Blackburn, CMHC is a Counselor - Mental Health based in Tooele, Utah. Mr George Alva Blackburn is licensed to practice in Utah (license number 6672674-6004) and his current practice location is 134 W 1180 N, Tooele, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 228-4181.

NPI number for Mr George Alva Blackburn is 1467759514 and his current mailing address is 134 W 1180 N, Tooele, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467759514.

Contact Information

Mr George Alva Blackburn, CMHC
134 W 1180 N,
Tooele, UT 84074-1483
(435) 228-4181
Not Available

Healthcare Provider's Profile

Full NameMr George Alva Blackburn
GenderMale
SpecialityCounselor - Mental Health
Location134 W 1180 N, Tooele, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467759514
  • Provider Enumeration Date: 02/24/2011
  • Last Update Date: 07/22/2015

Medical Identifiers

Medical identifiers for Mr George Alva Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467759514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6672674-6004 (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. Mr George Alva Blackburn 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 AddressPractice Location Address
Mr George Alva Blackburn, CMHC
134 W 1180 N,
Tooele, UT 84074-1483

Ph: (435) 228-4181
Mr George Alva Blackburn, CMHC
134 W 1180 N,
Tooele, UT 84074-1483

Ph: (435) 228-4181

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› Verified 5 days ago


Counselor in Tooele, UT

Ms. Michelle Elizabeth Kinder, SSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 S 1000 W, Tooele, UT 84074
Phone: 435-843-3520    
Miriam Eileen Buell, ACMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 50 N Main St, Tooele, UT 84074
Phone: 801-990-4300    Fax: 801-967-2127
Drew Hanson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 754 N Main St, Tooele, UT 84074
Phone: 435-228-6523    
Mrs. Rita Josephine Butler, CMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 50 N Main St, Tooele, UT 84074
Phone: 801-990-4300    Fax: 801-967-2127
Karen Freiley Atkins,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 22 W Vine St, Tooele, UT 84074
Phone: 435-882-4354    
Raquel M Rhoads, CMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1244 N Main St Ste 202, Tooele, UT 84074
Phone: 435-850-7378    
Mr. David Alan Smith, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 S 1000 W, Tooele, UT 84074
Phone: 435-843-3520    Fax: 435-843-3555

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