Individual
MINDY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 AVENUE J, COUNCIL BLUFFS, IA 51501-1170
(712) 435-5350
Mailing address
5618 OAK ST, OMAHA, NE 68106-3023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
077182
IA
101YM0800X
Mental Health Counselor
10721
NE
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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