Individual
BLAIR MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2806 GOLDSPRING LN, SPRING, TX 77373-5870
(855) 862-3278
Mailing address
2806 GOLDSPRING LN, SPRING, TX 77373-5870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12760
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
10/11/2017
Last updated
10/11/2017
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