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Organization

BLAZING STAR COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLYCIA STENNETT MA, LPC (OWNER)
(304) 687-6863
Entity
Organization

Contact information

Practice address
2033 HUDSON ST, CHARLESTON, WV 25302-4028
(304) 687-6863
Mailing address
2033 HUDSON ST, CHARLESTON, WV 25302-4028
(304) 687-6863

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699299172
NPI
01
1871074948
NPI
Enumeration date
10/20/2023
Last updated
04/23/2025
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