Individual
KORI BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1093 S BROADWAY STE 1218, LEXINGTON, KY 40504-2677
(596) 934-9388
(606) 886-4433
Mailing address
3189 TIBURON WAY, LEXINGTON, KY 40511-8672
(596) 934-9388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
03/04/2024
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