person
Tiffany Blanton, LPCC,NCC
Professional Counselor in Russell, Kentucky
NPI 1972600609

Tiffany Blanton is a Professional Counselor based in Russell, KY and is specialized in Professional. Tiffany Blanton practices in Russell, KY and has the professional credentials of LPCC,NCC. The NPI Number for Tiffany Blanton is 1972600609 and holds a License No. 1163 (Kentucky).

The current practice location address for Tiffany Blanton is 1448 Diederich Boulveard, Russell, KY and can be reached out via phone at 606-834-0020 and via fax at 606-834-0049.

Location: 1448 Diederich Boulveard, Russell, KY, 41169-1719
person
Provider Profile Details
NPI Number
1972600609
Provider Name
Tiffany Blanton
Credential
LPCC,NCC
Provider Entity Type
Individual
Gender
Female
Address
1448 Diederich Boulveard, Russell, KY, 41169-1719
Phone Number
606-834-0020
Fax Number
606-834-0049
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2886911 01 UNITED HEALTHCARE
30610026 05 KY
000000558499 01 ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
1448 Diederich Boulveard
City
State
Zip
41169
Phone Number
606-834-0020
Fax Number
606-834-0049
person
Provider Business Mailing Address Details
Address
1448 Diederich Boulveard
City
State
Zip
41169
Phone Number
606-834-0020
Fax Number
606-834-0049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1163 (Kentucky)
Definition
Definition to come...
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