Individual
MR. ERIC SHANE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
242 WEST SHAMROCK STREET, PINEVILLE, LA 71360
(318) 484-6850
(318) 484-6506
Mailing address
219 TWIN OAKS RD W, PINEVILLE, LA 71360-7744
(318) 484-6850
(318) 484-6506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1472
LA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/22/2007
Last updated
08/24/2018
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