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Individual
KIMBERLY BLAIR
Active
Individual
KIMBERLY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
017992
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P119976
NY
Other
Enumeration date
05/03/2023
Last updated
07/16/2026
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