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Individual

MICHAEL ARLEN BLAYLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
259 PHEASANT RD W UNIT 25, TWIN FALLS, ID 83301-8040
(208) 280-3836
Mailing address
259 PHEASANT RD W UNIT 25, TWIN FALLS, ID 83301-8040
(208) 280-3836

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10204
ID

Other

Enumeration date
01/25/2024
Last updated
10/09/2025
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