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Individual

P GREGG BLANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
191 E CHESTNUT ST, ASHEVILLE, NC 28801-2330
(828) 712-9704
(828) 258-3831
Mailing address
191 E CHESTNUT ST, ASHEVILLE, NC 28801-2330
(828) 712-9704
(828) 258-3831

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2983
NC
106H00000X
Marriage & Family Therapist
Primary
697
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1140V
BCBSNC
NC
01
2014731
CIGNA BEHAVIORAL
NC
01
C4264
MEDCOST
NC
Enumeration date
03/30/2006
Last updated
08/28/2013
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