KRISSY BLANDFORD

EAGLE, ID
NPI1619347234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-09-25
Last Update Date2015-09-25
Business Address
-- KRISSY BLANDFORD MSP
1014 W RUSH RD
EAGLE, ID 83616-3620
Phone number: 208-921-1809
Mailing Address
-- KRISSY BLANDFORD MSP
1014 W RUSH RD
EAGLE, ID 83616-3620
Phone number: 208-921-1809
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