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Krissy Blandford, MSP
Addiction (Substance Use Disorder) Counselor in Eagle, Idaho
NPI 1619347234

Krissy Blandford is an Addiction (Substance Use Disorder) Counselor based in Eagle, ID and is specialized in Addiction (Substance Use Disorder). Krissy Blandford practices in Eagle, ID and has the professional credentials of MSP. The NPI Number for Krissy Blandford is 1619347234 and holds a License No. (Idaho).

The current practice location address for Krissy Blandford is 1014 W Rush Rd, Eagle, ID and can be reached out via phone at 208-921-1809.

Location: 1014 W Rush Rd, Eagle, ID, 83616-3620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619347234
Provider Name
Krissy Blandford
Credential
MSP
Provider Entity Type
Individual
Gender
Female
Address
1014 W Rush Rd, Eagle, ID, 83616-3620
Phone Number
208-921-1809
Fax Number
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1014 W Rush Rd
City
Eagle
State
Idaho
Zip
83616-3620
Phone Number
208-921-1809
Fax Number
person
Provider Business Mailing Address Details
Address
1014 W Rush Rd
City
Eagle
State
Idaho
Zip
83616-3620
Phone Number
208-921-1809
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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