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NPI Code Detail

MEDICARE: DELAINEE BLISS

MEDICARE: DELAINEE BLISS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor13258844-6009UT

General Provider Information

NPI Number : 1659819027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELAINEE BLISS
Provider Business Mailing Address
First Line : 13222 TREE SPARROW DR
Second Line :
City : RIVERTON
State : UT
Zip : 84096-2879
Country : US
Telephone Number : 801-432-0991
Fax Number :
Provider Business Practice Location Address
First Line : 6013 S REDWOOD RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84123-5220
Country : US
Telephone Number : 801-255-5131
Fax Number : 801-255-5131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 07/01/2025

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Directions to “ DELAINEE BLISS ” Practice Location

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