Individual provider · Type 1 NPI

Kewonna Blanton

Mental Health Counselor · Vidalia, LA

NPI number 1144692831 Active

Practice location

1644 Carter St # B
Vidalia, LA 71373-3143

Call (318) 414-3065 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144692831

Kewonna Blanton's National Provider Identifier is 1144692831, issued on Oct 21, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vidalia, LA. The record was last updated on Oct 21, 2015.