Individual
GRANT BLASINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 ANDERSON ST, GREENVILLE, SC 29601-4022
(864) 326-3435
Mailing address
32 UNDERWOOD AVE, GREENVILLE, SC 29607-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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