Individual
MR. JEREMY BRADEN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 705-6351
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 705-6351
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L256
AL
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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