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Individual

PERRY BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., LPCC

Contact information

Practice address
214 BRECKENRIDGE LN STE 205, LOUISVILLE, KY 40207-3879
(502) 742-4014
(502) 709-4264
Mailing address
214 BRECKENRIDGE LN STE 205, LOUISVILLE, KY 40207-3879
(502) 742-4014
(502) 709-4264

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCPCC00218886
KY
101YP2500X
Professional Counselor
Primary
LPCPCC00218886
KY

Other

Enumeration date
10/23/2013
Last updated
04/05/2022
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