Individual
MRS. DAWN MARIE BLASHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 UNIVERSITY AVE, FULTON, MO 65251-2388
(248) 219-7491
Mailing address
1 UNIVERSITY AVE, FULTON, MO 65251-2388
(248) 219-7491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011861
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LPC.0013023
CO
Other
Enumeration date
03/20/2011
Last updated
04/10/2024
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