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Individual

MR. MITCHELL B. BLOCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, CAP, NCC

Contact information

Practice address
7950 MARTIN LOOP BLDG 324, FT BENNING ASAP, FT. BENNING, GA 31905
(706) 545-8372
(706) 545-8364
Mailing address
PO BOX 53589, FORT BENNING, GA 31995-3589
(706) 545-8372
(706) 545-8364

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH- 8628
FL

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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