Individual
HEATHER L BLASINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
101 E PARK BLVD STE OFFICE47, PLANO, TX 75074-5483
(214) 282-0258
(972) 696-0899
Mailing address
1364 RIGSBEE DR APT B, PLANO, TX 75074-7071
(214) 282-0258
(972) 696-0899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14968
TX
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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