SearchUtahFoster Care Agency

Blake Altom, M.S., MFT INTERN

NPI 1255657201 · on the registry since 2010 · sole proprietor

Practice

Address
242 Rosewood Cir
Logan, UT 84321
Phone
(435) 512-1304

Registry record

Primary taxonomy
Foster Care Agency
253J00000X
Also registered as
Marriage & Family Therapist
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah