Individual
MICHAEL RAY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LPCC
Contact information
Practice address
4400 PRESIDENTIAL PL NE, SUITE C, ALBUQUERQUE, NM 87109-3442
(505) 345-3046
Mailing address
5116 STONE MOUNTAIN RD NW, ALBUQUERQUE, NM 87114-3531
(505) 792-1531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0064
NM
101Y00000X
Counselor
991350
CO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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