Individual
MRS. BROOKE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
1296 ROBERT C. BYRD DRIVE, CRAB ORCHARD, WV 25827-0415
(681) 238-5957
(681) 238-5958
Mailing address
PO BOX 415, CRAB ORCHARD, WV 25827-0415
(681) 238-5957
(681) 238-5958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AP00943133
WV
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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