Organization
BLAIR'S COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUDINE BLAIR PH.D., FAPA, CGP,CRS (DIRECTOR)
(850) 297-2190
Entity
Organization
Contact information
Practice address
2652 EGRET LN, TALLAHASSEE, FL 32308-0542
(850) 297-2190
Mailing address
PO BOX 12697, TALLAHASSEE, FL 32317-2697
(850) 297-2190
(850) 385-6598
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z-1073
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
05/23/2007
Last updated
08/22/2020
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