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Mr. Elias Antonio Blair
Mental Health Counselor in Ketchikan, Alaska
NPI 1063016491

Elias Antonio Blair is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Elias Antonio Blair practices in Ketchikan, AK. The NPI Number for Elias Antonio Blair is 1063016491 and holds a License No. (Alaska).

The current practice location address for Elias Antonio Blair is 2951 Baranof Avenue, Ketchikan, AK and can be reached out via phone at 907-220-4841 and via fax at 907-885-6613.

Location: 2951 Baranof Avenue, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063016491
Provider Name
Elias Antonio Blair
Credential
Provider Entity Type
Individual
Gender
Male
Address
2951 Baranof Avenue, Ketchikan, AK, 99901-2475
Phone Number
907-220-4841
Fax Number
907-885-6613
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1584706 05 AK
1021118 05 AK
institution
Provider Business Practice Location Address Details
Address
2951 Baranof Avenue
City
Ketchikan
State
Alaska
Zip
99901
Phone Number
907-220-4841
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2951 Baranof Avenue
City
Ketchikan
State
Alaska
Zip
99901
Phone Number
907-220-4841
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Alaska)
Definition
Definition to come...
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