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Kristy Eleanor Blalock, LCPC,NCC
Professional Counselor in Pasadena, Maryland
NPI 1922360247

Kristy Eleanor Blalock is a Professional Counselor based in Glen Burnie, MD and is specialized in Professional. Kristy Eleanor Blalock practices in Pasadena, MD and has the professional credentials of LCPC,NCC. The NPI Number for Kristy Eleanor Blalock is 1922360247 and holds a License No. 12860 (Maryland).

The current practice location address for Kristy Eleanor Blalock is 8028 Ritchie Hwy, Pasadena, MD and can be reached out via phone at 410-761-0725 and via fax at 410-761-2412.

Location: 8028 Ritchie Hwy, Pasadena, MD, 21061-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922360247
Provider Name
Kristy Eleanor Blalock
Credential
LCPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
8028 Ritchie Hwy, Pasadena, MD, 21061-5115
Phone Number
410-761-0725
Fax Number
410-761-2412
Provider Enumeration Date
06/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8028 Ritchie Hwy
City
Pasadena
State
Maryland
Zip
21122-1075
Phone Number
410-761-0725
Fax Number
410-761-2412
person
Provider Business Mailing Address Details
Address
8028 Ritchie Hwy
City
Pasadena
State
Maryland
Zip
21122-1075
Phone Number
410-761-0725
Fax Number
410-761-2412
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12860 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12860 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12860 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12860 (Maryland)
Definition
Definition to come...
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