Individual provider · Type 1 NPI
Susan B. Blair, LCMFT, CCDP
Marriage & Family Therapist · Gaithersburg, MD
Practice location
349 Main St Ste 1
Gaithersburg, MD 20878-5780
Fax (301) 865-3264
Mailing address
PO Box 3628
Gaithersburg, MD 20885-3628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | LCM463 (MD) |
| Marriage & Family Therapist | 106H00000X | 0717001254 (VA) |
| Marriage & Family Therapist | 106H00000X | 000148 (DC) |
| Marriage & Family Therapist | 106H00000X | 3 (WV) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1649345745
Susan B. Blair, LCMFT, CCDP's National Provider Identifier is 1649345745, issued on Nov 22, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Apr 23, 2015.