IndividualActive
David Blackwell, LPC, LSAC
NPI 1306067459 · Professional Counselor · Highland, UT
Provider details
- NPI number
- 1306067459
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LSAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 342505-6004 (UT)
Mailing address
11188 N 6000 W
Highland, UT 84003-9438
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.