Individual
MR. DANIEL BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC
Contact information
Practice address
795 WOODLANE RD, SUIT 301, WESTAMPTON, NJ 08060-3832
(609) 288-3056
Mailing address
795 WOODLANE RD, SUIT 301, WESTAMPTON, NJ 08060-3832
(609) 288-3056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00447900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00447900
BOARD OF MARRAIGE AND FAMILY THERAPY OF NEW JERSERY
NJ
Enumeration date
08/14/2014
Last updated
05/01/2015
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