Individual
MISS NIELAH BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
09/23/2009
Last updated
08/08/2025
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