Individual
ESTHER BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
137 RICH RD, CANTON, NY 13617-3218
(315) 276-1165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24711
NY
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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