Individual
DEBORAH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASACT
Contact information
Practice address
1150 UNIVERSITY AVE, ROCHESTER, NY 14607-1647
(585) 442-8422
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8408
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
03/29/2016
Last updated
12/28/2016
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