Individual
ANDREW BLIZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2018 5TH AVE APT 7A, NEW YORK, NY 10035-1812
(845) 820-1078
Mailing address
2018 5TH AVE APT 7A, NEW YORK, NY 10035-1812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008689
NY
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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