Individual
BIANCA BLATTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
3310 S BROADWAY AVE STE 212, TYLER, TX 75701-7818
(903) 201-7412
Mailing address
3310 S BROADWAY AVE STE 212, TYLER, TX 75701-7818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90132
TX
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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