Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Blake Denver Altom, MS, MFTINTERN

Individual provider Marriage & Family Therapist · NPI 1255657201

Mr. Blake Denver Altom, MS, MFTINTERN is a Marriage & Family Therapist in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

242 Rosewood Cir
Logan, UT 84321-5045
Phone: (435) 512-1304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 7195889-3904 (UT)

Record details

NPI number1255657201
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , MFTINTERN
Sole proprietorYes
NPI enumeratedApril 15, 2010
Last updated in NPPESApril 15, 2010
Mailing address242 Rosewood Cir, Logan, UT 84321-5045

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