Individual provider · Type 1 NPI

Heather Blasingame, BS

Mental Health Counselor · Lawrenceville, IL

NPI number 1053509026 Active

Practice location

1501 Olive St
Lawrenceville, IL 62439-2269

Call (618) 943-3451 Map

Fax (618) 943-4368

Mailing address

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053509026

Heather Blasingame, BS's National Provider Identifier is 1053509026, issued on Oct 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, IL. The record was last updated on Nov 6, 2007.