person
Wanda Siena Blanco, LPCMH
Mental Health Counselor in Middletown, Delaware
NPI 1245471952

Wanda Siena Blanco is a Mental Health Counselor based in Middletown, DE and is specialized in Mental Health. Wanda Siena Blanco practices in Middletown, DE and has the professional credentials of LPCMH. The NPI Number for Wanda Siena Blanco is 1245471952 and holds a License No. LC8003 (Delaware).

The current practice location address for Wanda Siena Blanco is 651 N Broad St Ste 205 #4462, Middletown, DE and can be reached out via phone at 302-985-9831.

Location: 651 N Broad St Ste 205 #4462, Middletown, DE, 19709-6402
person
Provider Profile Details
NPI Number
1245471952
Provider Name
Wanda Siena Blanco
Credential
LPCMH
Provider Entity Type
Individual
Gender
Female
Address
651 N Broad St Ste 205 #4462, Middletown, DE, 19709-6402
Phone Number
302-985-9831
Fax Number
Provider Enumeration Date
03/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13591550 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
651 N Broad St Ste 205 #4462
City
State
Zip
19709-6402
Phone Number
302-985-9831
Fax Number
person
Provider Business Mailing Address Details
Address
651 N Broad St Ste 205 #4462
City
State
Zip
19709-6402
Phone Number
302-985-9831
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC0000797 (Delaware)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC8003 (Maryland)
Definition
Definition to come...
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