Individual
CHERYL BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
1235 N HEWETT AVE, HASTINGS, NE 68901-2931
(402) 519-1878
Mailing address
1235 NORTH HEWETT AVE., HASTINGS, NE 68901
(402) 519-1878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1206
NE
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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