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Ericca Blair
Mental Health Counselor in Prestonsburg, Kentucky
NPI 1922365303

Ericca Blair is a Mental Health Counselor based in Lexington, KY and is specialized in Mental Health. Ericca Blair practices in Prestonsburg, KY. The NPI Number for Ericca Blair is 1922365303 and holds a License No. 127499 (Kentucky).

The current practice location address for Ericca Blair is 561 N Lake Dr, Prestonsburg, KY and can be reached out via phone at 606-216-4645.

Location: 561 N Lake Dr, Prestonsburg, KY, 40505-9009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922365303
Provider Name
Ericca Blair
Credential
Provider Entity Type
Individual
Gender
Female
Address
561 N Lake Dr, Prestonsburg, KY, 40505-9009
Phone Number
606-216-4645
Fax Number
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
561 N Lake Dr
City
Prestonsburg
State
Kentucky
Zip
41653-1278
Phone Number
606-216-4645
Fax Number
person
Provider Business Mailing Address Details
Address
561 N Lake Dr
City
Prestonsburg
State
Kentucky
Zip
41653-1278
Phone Number
606-216-4645
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
127499 (Kentucky)
Definition
Definition to come...
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