Individual
KRISTINA HANSEN BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
64 WEST WATER ST, HARRISONBURG, VA 22801
(540) 212-9490
(540) 434-0132
Mailing address
134 WINDY KNOLL DRIVE, ROCKINGHAM, VA 22802
(540) 421-9552
(540) 434-0132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011108
VA
Other
Enumeration date
12/29/2021
Last updated
11/29/2023
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