Individual
NANCY CAROL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
844 NATCHEZ TRACE DR N, LEXINGTON, TN 38351-4144
(731) 967-8803
(731) 967-8784
Mailing address
1650 BROADWAY RD N, LEXINGTON, TN 38351-6272
(731) 967-8803
(731) 967-8784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LPC 1504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4007722
BCBS PROVIDER NUMBER
TN
05
—
572449000
—
TN
Enumeration date
07/31/2006
Last updated
03/04/2015
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