Individual
JOHN H BLAXLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
343 S 3RD ST, COOPERSBURG, PA 18036-2111
(610) 282-2575
Mailing address
1767 KLINE AVE, BETHLEHEM, PA 18015
(610) 217-2176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001781
PA
Other
Enumeration date
04/25/2018
Last updated
04/09/2024
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