Individual provider · Type 1 NPI

Novell Blain, LPC

Professional Counselor · Marietta, GA

NPI number 1760863948 Active

Practice location

1640 Powers Ferry Rd SE, Building 8, Suite 310
Marietta, GA 30067-5491

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X006737 (GA)

Professional Counselor: Definition to come...

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About NPI 1760863948

Novell Blain, LPC's National Provider Identifier is 1760863948, issued on Jun 14, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Jun 14, 2015.