Most Relevant Information
Provider Data
| NPI Number: | 1003312109 |
| Provider Name: | ALEX BLANKENSTEIN ACMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 10382410-6009 |
Most Important Dates
| Enumeration Date: | 04/05/2018 |
| Last Updated: | 04/05/2018 |
Provider Practice Location
151 E 5600 S STE 300
SALT LAKE CITY
UT
841078149
Practice Location Phone/Fax
| Phone: | 8014622150 |
| Fax: |
Provider Mailing Location
151 E 5600 S STE 300
SALT LAKE CITY
UT
841078149
Provider Mailing Phone/Fax
| Phone: | 8014622150 |
| Fax: |