Individual provider · Type 1 NPI

Kristy Eleanor Blalock, LCPC, NCC

Professional Counselor · Pasadena, MD

NPI number 1922360247 Active

Practice location

8028 Ritchie Hwy, Suite 308
Pasadena, MD 21122-1075

Call (410) 761-0725 Map

Fax (410) 761-2412

Mailing address

8069 Green Orchard Rd, Apt 12
Glen Burnie, MD 21061-5115

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X12860 (MD)
Addiction (Substance Use Disorder) Counselor 101YA0400X12860 (MD)
Mental Health Counselor 101YM0800X12860 (MD)
Professional Counselor Primary 101YP2500X12860 (MD)

Professional Counselor: Definition to come...

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About NPI 1922360247

Kristy Eleanor Blalock, LCPC, NCC's National Provider Identifier is 1922360247, issued on Jun 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pasadena, MD. The record was last updated on Jul 21, 2014.