| Derriek Blackwell, CSW | |
|
5663 S Redwood Rd, Suite 2, Office 10, Taylorsville, UT 84123 | |
| (801) 742-5851 | |
| Not Available |
| Full Name | Derriek Blackwell |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5663 S Redwood Rd, Taylorsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770339756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13844125-3502 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derriek Blackwell, CSW 5663 S Redwood Rd, Suite 2, Office 10, Taylorsville, UT 84123 Ph: (801) 742-5851 | Derriek Blackwell, CSW 5663 S Redwood Rd, Suite 2, Office 10, Taylorsville, UT 84123 Ph: (801) 742-5851 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |