Individual provider · Type 1 NPI
Anthony Jerome Blalock Jr., B.S. QMHP
Counselor · Petersburg, VA
NPI number
1184132151
Active
Practice location
210 Lily Way Apt 3B
Petersburg, VA 23805-9161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Petersburg
About NPI 1184132151
Anthony Jerome Blalock Jr., B.S. QMHP's National Provider Identifier is 1184132151, issued on Jan 12, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Petersburg, VA. The record was last updated on Jan 12, 2018.