Individual
TARA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 CRAIG KLAWOCK HWY # 241, CRAIG, AK 99921-0678
(907) 826-3891
Mailing address
721 STEDMAN ST, KETCHIKAN, AK 99901-6632
(907) 225-7825
(907) 225-1541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/19/2020
Last updated
10/25/2024
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