Individual
ALFRED BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
(202) 877-0343
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
(202) 877-0343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC160
DC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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