Individual
AGATA BLASZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 MARKEL RD STE 102, RICHMOND, VA 23230-3030
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014459
VA
101YP2500X
Professional Counselor
0704015014
VA
Other
Enumeration date
10/27/2023
Last updated
02/18/2025
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