Individual
JOSEPH BLANDFORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 589-8600
Mailing address
10101 LINN STATION RD, LOUISVILLE, KY 40223-3848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
173735
KY
1041C0700X
Clinical Social Worker
Primary
255199
KY
Other
Enumeration date
12/05/2017
Last updated
04/28/2023
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