Individual
MICHELLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC
Contact information
Practice address
5427 E. MADERA ST., TUCSON, AZ 85707
(520) 228-4926
Mailing address
5427 E. MADERA ST., TUCSON, AZ 85707
(520) 228-4926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15140
AZ
104100000X
Social Worker
LMSW-18034
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-19404
AZ
Other
Enumeration date
08/05/2015
Last updated
09/09/2022
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