Individual provider · Type 1 NPI
Mina-Ayesha A. Blair, MSW, LSW
Addiction (Substance Use Disorder) Counselor · Williamsport, PA
NPI number
1235161571
Active
Practice location
2062 Old Lycoming Raod
Williamsport, PA 17701
Mailing address
65 Gratzmar Ave
Renovo, PA 17764-9507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | SW123316 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235161571
Mina-Ayesha A. Blair, MSW, LSW's National Provider Identifier is 1235161571, issued on Jul 7, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamsport, PA. The record was last updated on Jun 23, 2014.