Individual
KELLI JO BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
WILLIAMSON COMPREHENSIVE TREATMENT CENTER INC., 1609 WEST THIRD AVENUE, WILLIAMSON, WV 25661
(304) 235-0026
Mailing address
835 BIG LICK RD, INEZ, KY 41224-8855
(606) 626-0049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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