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Individual

PAIGE BLASING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
2864 MIDDLE ST # 100, LITTLE CANADA, MN 55117-1411
(651) 493-2055
Mailing address
1006 22ND AVE NE # 2, MINNEAPOLIS, MN 55418-3702
(612) 508-9004

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
2354
MN

Other

Enumeration date
02/12/2020
Last updated
05/26/2020
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