Individual provider · Type 1 NPI
Tri'na Elisa Blackshear
Mental Health Counselor · Marianna, FL
NPI number
1083961775
Active
Practice location
4254 Elm St
Marianna, FL 32448-4210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1083961775
Tri'na Elisa Blackshear's National Provider Identifier is 1083961775, issued on Aug 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marianna, FL. The record was last updated on Aug 13, 2012.