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Derriek Blackwell, CSW
NPI 1770339756 · on the registry since 2024
Practice
- Address
- 5663 S Redwood Rd
Suite 2, Office 10
Taylorsville, UT 84123 - Phone
- (801) 742-5851
- Organisation at this address
- Manaaki Mental Health
Mana Mental Health Llc
Imagine Counseling ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-29
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