person
Mina-ayesha A Blair, MSW,LSW
Addiction (Substance Use Disorder) Counselor in Williamsport, Pennsylvania
NPI 1235161571

Mina-ayesha A Blair is an Addiction (Substance Use Disorder) Counselor based in Renovo, PA and is specialized in Addiction (Substance Use Disorder). Mina-ayesha A Blair practices in Williamsport, PA and has the professional credentials of MSW,LSW. The NPI Number for Mina-ayesha A Blair is 1235161571 and holds a License No. SW123316 (Pennsylvania).

The current practice location address for Mina-ayesha A Blair is 2062 Old Lycoming Raod, Williamsport, PA and can be reached out via phone at 570-505-1123. You can also correspond with Mina-ayesha A Blair through the mailing address at 65 GRATZMAR AVE, RENOVO, PA - 17764-9507 (mailing address contact number: 570-858-0046).

Location: 2062 Old Lycoming Raod, Williamsport, PA, 17764-9507
person
Provider Profile Details
NPI Number
1235161571
Provider Name
Mina-ayesha A Blair
Credential
MSW,LSW
Provider Entity Type
Individual
Gender
Female
Address
2062 Old Lycoming Raod, Williamsport, PA, 17764-9507
Phone Number
570-505-1123
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2062 Old Lycoming Raod
City
State
Zip
17701
Phone Number
570-505-1123
Fax Number
person
Provider Business Mailing Address Details
Address
2062 Old Lycoming Raod
City
State
Zip
17701
Phone Number
570-505-1123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
SW123316 (Pennsylvania)
Definition
Definition to come...
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