Individual
MRS. DEBRA DIANE BLASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
540 N BROADWAY ST, TEKOA, WA 99033-9636
(509) 720-6731
Mailing address
9116 E SPRAGUE AVE # 301, SPOKANE VALLEY, WA 99206-4397
(509) 720-6731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60399333
WA
101YP2500X
Professional Counselor
LPC07681
OK
Other
Enumeration date
12/19/2014
Last updated
05/29/2024
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