Organization
BLAIR COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN BLAIR LCSW-R (OWNER)
(315) 813-7062
Entity
Organization
Contact information
Practice address
2112 ERIE BLVD E, SYRACUSE, NY 13224-1041
(315) 813-7062
(315) 813-7067
Mailing address
2112 ERIE BLVD E, SYRACUSE, NY 13224-1041
(315) 813-7062
(315) 813-7067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22267
LICENSE NUMBER
NY
01
—
5193719565
PECOS I.D.
—
Enumeration date
08/16/2022
Last updated
08/16/2022
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