Individual
TONYA RAE BLAZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 306-9181
Mailing address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 273-8000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/23/2023
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