| NPI | 1093572521 |
|---|---|
| Doing Business As | CHALOTTE E BLANDING PHD SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE E BLANDING Licensed Mental Health Counselor 904-240-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |