Provider Demographics
NPI:1538572565
Name:BLUNT, HALLIE G (BS)
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:G
Last Name:BLUNT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:G
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 HORIZON DR
Mailing Address - Street 2:STE 225
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8700
Mailing Address - Country:US
Mailing Address - Phone:970-683-7107
Mailing Address - Fax:970-683-7167
Practice Address - Street 1:17497 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:RANGELY
Practice Address - State:CO
Practice Address - Zip Code:81648-2522
Practice Address - Country:US
Practice Address - Phone:970-675-8411
Practice Address - Fax:970-675-2508
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor