Individual
KATRINA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
101 LOGAN ST STE 201, WILLIAMSON, WV 25661-3630
(304) 235-3570
(304) 235-2654
Mailing address
101 LOGAN ST STE 201, WILLIAMSON, WV 25661-3630
(304) 235-3570
(304) 235-2654
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
14-904
WV
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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