Individual
MS. DIONISA EUGENIA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
4959 DRY FORK ROAD, ROCKY GAP, VA 24366-0000
(304) 920-4785
(000) 000-0000
Mailing address
111 TOWN HOLLOW ROAD, CEDAR BLUFF, VA 24609-0000
(276) 963-3554
(276) 963-4653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
VA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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