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Individual

RANDY BLIZZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.DIV., LPC

Contact information

Practice address
2723 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 248-4547
Mailing address
2723 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 248-4547

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
NV
101YP2500X
Professional Counselor
Primary
NV

Other

Enumeration date
06/18/2008
Last updated
01/25/2010
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