Individual
MR. SEAN MICHAEL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
9301 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 257-5997
Mailing address
9301 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 257-5997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003161
VA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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