Organization
BLANC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN ELIZABETH BLANC LPC (PARTNER & THERAPIST)
(717) 303-5960
Entity
Organization
Contact information
Practice address
1017 MUMMA ROAD, SUIT 200, WORMLEYSBURG, PA 17043
(717) 303-5960
(717) 303-5962
Mailing address
1017 MUMMA ROAD, SUIT 200, WORMLEYSBURG, PA 17043
(717) 303-5960
(717) 303-5962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC00202092
PA
101Y00000X
Counselor
PC002092
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC002092
PA
101YM0800X
Mental Health Counselor
PC002092
PA
101YP2500X
Professional Counselor
PC002092
PA
101YP2500X
Professional Counselor
PC005503
PA
104100000X
Social Worker
PC002632
PA
1041C0700X
Clinical Social Worker
CW016327
PA
1041C0700X
Clinical Social Worker
PC002632
PA
106H00000X
Marriage & Family Therapist
PC002092
PA
251J00000X
Nursing Care Agency
RN305048L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245313360
VIVIAN BLANC NPI
PA
01
—
1497981609
NPI
PA
01
—
1962521021
NPI
PA
Enumeration date
05/23/2007
Last updated
04/25/2011
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