Individual
BENNIE LEE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
802 CLARE AVE, PORTSMOUTH, OH 45662-2583
(740) 876-8449
(888) 966-0381
Mailing address
1018 14TH ST APT D, PORTSMOUTH, OH 45662-3488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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