NPI | 1922680545 |
---|---|
Professional Name | BREE ANA BLALOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60417920) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61055353) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2021-09-01 |