Individual
DORA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
Mailing address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175076
OH
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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