Individual
MADISON BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 329-8588
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
289272
KY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/20/2020
Last updated
08/01/2024
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