IndividualActive
Generra Blake
NPI 1902452782 · Mental Health Counselor · Blanding, UT
Provider details
- NPI number
- 1902452782
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
735 S 200 W Ste 1
Blanding, UT 84511-3923
Phone: (435) 678-2992
Fax: (435) 678-3116
Approximate (ZIP-level) locationGet directions
Mailing address
735 S 200 W Ste 1
Blanding, UT 84511-3923
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.