Individual
AMANDA G BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7781
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7781
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0732001055
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0903004179
VA
Other
Enumeration date
09/02/2022
Last updated
02/12/2026
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