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Individual

EDWARD BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC

Contact information

Practice address
50 WILSON DR, SPARTA, NJ 07871-3400
(908) 246-0553
Mailing address
50 WILSON DR, SPARTA, NJ 07871-3400
(908) 246-0553

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00254100
NJ
101YP2500X
Professional Counselor
Primary
37PC00516900
NJ
101YP2500X
Professional Counselor

Other

Enumeration date
12/22/2015
Last updated
01/14/2026
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