| NPI | 1407330921 |
|---|---|
| Former Name | KAREN RENEE BLANKENSHIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13051) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24255) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |