Individual
DARRINA BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
4842 W NEW WORLD DR, GLENDALE, AZ 85302-5138
(623) 297-3014
Mailing address
4842 W NEW WORLD DR, GLENDALE, AZ 85302-5138
(623) 297-3014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-16351
AZ
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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