Individual provider · Type 1 NPI

Ethan Everett Blasdel, MS

Mental Health Counselor · Stillwater, OK

NPI number 1821592544 Active

Practice location

421 E Thomas Ave
Stillwater, OK 74075-2600

Call (405) 372-2202 Map

Fax (405) 445-3780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821592544

Ethan Everett Blasdel, MS's National Provider Identifier is 1821592544, issued on Mar 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stillwater, OK. The record was last updated on Mar 19, 2018.