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Individual

DR. J. FREDERICK BLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCC, LPC

Contact information

Practice address
209 E WASHINGTON AVE STE 252, JACKSON, MI 49201-2393
(517) 435-2176
(517) 435-2176
Mailing address
PO BOX 625, JACKSON, MI 49204-0625

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SPADA CERTIFICATION
MI
101YM0800X
Mental Health Counselor
6401009072
MI
101YP2500X
Professional Counselor
Primary
56663
MI
101YS0200X
School Counselor

Other

Enumeration date
12/20/2012
Last updated
07/15/2022
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