Individual
MR. DAN K BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7115 VIRGINIA RD, SUITE 110, CRYSTAL LAKE, IL 60014-3112
(815) 276-3947
(815) 356-8975
Mailing address
7115 VIRGINIA RD, SUITE 110, CRYSTAL LAKE, IL 60014-3112
(815) 276-3947
(815) 356-8975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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