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Individual

ERICCA BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
561 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 216-4645
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-1075

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
127499
KY
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/23/2012
Last updated
07/21/2022
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