person
Mr. Mark R Blanco, MA,SRLPE
Professional Counselor in La Vergne, Tennessee
NPI 1174647226

Mark R Blanco is a Professional Counselor based in La Vergne, TN and is specialized in Professional. Mark R Blanco practices in La Vergne, TN and has the professional credentials of MA,SRLPE. The NPI Number for Mark R Blanco is 1174647226 and holds a License No. PE0000011423 (Tennessee).

The current practice location address for Mark R Blanco is 1009 Ash Cir, La Vergne, TN and can be reached out via phone at 615-793-6513.

Location: 1009 Ash Cir, La Vergne, TN, 37086-4157
person
Provider Profile Details
NPI Number
1174647226
Provider Name
Mark R Blanco
Credential
MA,SRLPE
Provider Entity Type
Individual
Gender
Male
Address
1009 Ash Cir, La Vergne, TN, 37086-4157
Phone Number
615-793-6513
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1009 Ash Cir
City
State
Zip
37086-4157
Phone Number
615-793-6513
Fax Number
person
Provider Business Mailing Address Details
Address
1009 Ash Cir
City
State
Zip
37086-4157
Phone Number
615-793-6513
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PE0000011423 (Tennessee)
Definition
Definition to come...
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