| NPI | 1336201383 |
|---|---|
| Other Name | DALE BLANTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003042) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2026-01-23 |