Individual
BLANCA M VELAZQUEZ-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 MALL BLVD STE 204, KING OF PRUSSIA, PA 19406-3260
(484) 808-5340
Mailing address
210 MALL BLVD STE 204, KING OF PRUSSIA, PA 19406-3260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010722
PA
Other
Enumeration date
04/18/2019
Last updated
11/28/2020
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