Individual
MS. ASHLEY M BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
606 WASHINGTON ST, RAVENSWOOD, WV 26164
(304) 273-1033
(304) 273-1034
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1241
WV
103TC0700X
Clinical Psychologist
Primary
1241
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356793095
—
WV
Enumeration date
07/06/2016
Last updated
12/21/2023
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