Individual
AMBER BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2503 E MICHIGAN AVE, JACKSON, MI 49202-3757
(517) 788-9147
Mailing address
2503 E MICHIGAN AVE, JACKSON, MI 49202-3757
(517) 416-9537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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