Individual provider · Type 1 NPI

Mark R. Blanco, M.A., SR. LPE

Professional Counselor · La Vergne, TN

NPI number 1174647226 Active

Practice location

1009 Ash Cir
La Vergne, TN 37086-4157

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPE0000011423 (TN)

Professional Counselor: Definition to come...

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About NPI 1174647226

Mark R. Blanco, M.A., SR. LPE's National Provider Identifier is 1174647226, issued on Mar 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in La Vergne, TN. The record was last updated on Jul 8, 2007.